Active NPI
Eastern Orthodox Management Corp.
- Community Based Hospice Care Agency
- Worcester, MA
National Provider Identifier
1417159153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 251G0000X
- Legal business name
- EASTERN ORTHODOX MANAGEMENT CORP.
- Practice address
- 1183 Main Street
Worcester, MA 01603-2012 - Phone
- (508) 791-8200
- Fax
- (508) 791-8205
- NPI assigned
- Jun 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Karen M. Laganelli
- Title
- Executive Director
- Phone
- (508) 852-1000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 251G0000X | MA | Primary |
Addresses
Primary practice location
1183 Main Street
Worcester, MA 01603-2012
Mailing address
300 Barber Avenue
Worcester, MA 01606-2467
Phone (508) 852-1000
Other names 1
- d/b/a Holy Trinity Hospice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Tax ID family
- Dba Holy Trinity Hospice
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Falmouth, MA
- NPI 1215391529
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Skilled Nursing Facility
- Worcester, MA
- NPI 1497740773
Member Of
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Jun 1, 2016 | Change of Ownership | Trinity Hospice LLC |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
- Community Based Hospice Care Agency
- Falmouth, MA
- NPI 1215391529
Sold to, 2016-06-01
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1336089600000",
"number": "1417159153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 BARBER AVENUE",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016062467",
"telephone_number": "508-852-1000",
"fax_number": "508-854-1622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1183 MAIN STREET",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016032012",
"telephone_number": "508-791-8200",
"fax_number": "508-791-8205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTERN ORTHODOX MANAGEMENT CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-04",
"last_updated": "2012-05-04",
"status": "A",
"authorized_official_last_name": "LAGANELLI",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "508-852-1000",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "MA",
"license": "251G0000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "d/b/a Holy Trinity Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.