Organization Active NPI

Eastern Orthodox Management Corp.

  • Community Based Hospice Care Agency
  • Worcester, MA
National Provider Identifier
1417159153
Registry record updated May 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
251G0000X Issued in MA
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

Updated by the provider on May 4, 2012

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)CodeLicenseStatePrimary
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 Doing business as

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 Hospice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jun 1, 2016 Change of OwnershipThis provider was the seller Trinity Hospice LLCCCN 221577, MA, NPI 1215391529

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

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

Verify at the official NPI Registry.