Notre Dame Health Care Center,Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0948 Issued in MA

Legal business name

NOTRE DAME HEALTH CARE CENTER,INC

Practice address

559 Plantation St
Worcester, MA 01605-2350

Phone

(508) 852-3101

Fax

(508) 852-0397

NPI assigned

Nov 2, 2005

Last updated

Apr 1, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Philip Hickey

Title

Ceo & President

Phone

(508) 852-3011

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396736930. Details of each certification follow.

• CCN 225577 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 225577

Legal name

NOTRE DAME HEALTH CARE CENTER INC

Doing business as

NOTRE DAME LONG TERM CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 12, 1993

Last certification

Feb 12, 2025

Beds

123

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Enrollment address

559 Plantation St
Worcester, MA 01605-2350

Nursing home name

NOTRE DAME LONG TERM CARE CENTER

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Notre Dame Health Care Center, Inc.

  dba Notre Dame Hospice

  • Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
  • Worcester, MA
  • NPI 1689703068

  2961440433

  Same PAC ID

Listed as

Notre Dame Long Term Care CenterCCN 225577 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jun 12, 1993

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

123120.3 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Notre Dame Health Care Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Notre Dame Health Care Center, Inc.

  dba Notre Dame Hospice

  • Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
  • Worcester, MA
  • NPI 1689703068
  NPD tax ID
• Notre Dame Health Care Center, Inc.

  dba Notre Dame Assisted Living Facility

  • Assisted Living Facility
  • Worcester, MA
  • NPI 1689796195
  NPD tax ID

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Robert K Ferguson, M.D.

  • Internal Medicine Physician
  • Millbury, MA
  • NPI 1609857135

  Corporate Director, Managing Control - Governing Body, Operational/Managerial Control

  CMS ownership
• Erika N Zimmons, DO

  • Family Medicine Physician
  • Worcester, MA
  • NPI 1942373535

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Notre Dame Health Care Center, Inc.

  dba Notre Dame Hospice

  • Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
  • Worcester, MA
  • NPI 1689703068

  Other

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shirley Pak So, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Worcester, MA
  • NPI 1639466592
  NPD (past)
• Erika N Zimmons, DO

  • Family Medicine Physician
  • Worcester, MA
  • NPI 1942373535
  NPD (past)

Affiliated clinicians 8

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Shirley Pak So, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Worcester, MA
  • NPI 1639466592

  Nursing home

  Care Compare affiliation
• Erika N Zimmons, DO

  • Family Medicine Physician
  • Worcester, MA
  • NPI 1942373535

  Nursing home

  Care Compare affiliation
• Olabamiji Kazeem Abimbola, DSC, PA-C

  • Medical Physician Assistant
  • Dallas, TX
  • NPI 1619460938

  Nursing home

  Care Compare affiliation
• Ellen Bryn Brennan, NP

  • Adult Health Nurse Practitioner
  • Wilmington, DE
  • NPI 1821729039

  Nursing home

  Care Compare affiliation
• Renee Ann Conn, CRNP

  • Family Nurse Practitioner
  • Brentwood, PA
  • NPI 1043824451

  Nursing home

  Care Compare affiliation
• Jorge Dominguez

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1710480272

  Nursing home

  Care Compare affiliation
• Jennifer Marie Enderline, AG-ACNP

  • Acute Care Nurse Practitioner
  • New York, NY
  • NPI 1356813653

  Nursing home

  Care Compare affiliation
• Dawn Hilton Lupica, PA-C

  • Surgical Physician Assistant
  • Baltimore, MD
  • NPI 1669718870

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1396736930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 PLANTATION ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052350",
            "telephone_number": "508-852-3011",
            "fax_number": "508-852-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 PLANTATION ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052350",
            "telephone_number": "508-852-3101",
            "fax_number": "508-852-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOTRE DAME HEALTH CARE CENTER,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A",
        "authorized_official_last_name": "HICKEY",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "CEO & PRESIDENT",
        "authorized_official_telephone_number": "508-852-3011",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0920967",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northstar Counseling Services, LLC
• Craig Norton
• Juliana Norton
• Notre Dame Health Care Center, Inc. (Notre Dame Hospice)
• Notre Dame Health Care Center, Inc. (Notre Dame Assisted Living Facility)
• Georgina K Nouaime, MD
• Edwige Kounga Noumsi, MD, PHARM.D
• Sanam Nourazari, MS
• Rebecca Nourse, LICSW
• Tressa R Novack

• Skilled Nursing Facility in Worcester, MA
• Providers in Worcester, MA by specialty
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.