Active NPI
Jewish Healthcare Center, Inc.
- Community Based Hospice Care Agency
- Worcester, MA
National Provider Identifier
1447364690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- JEWISH HEALTHCARE CENTER, INC.
- Doing business as
- JHC Hospice
- Practice address
- 629 Salisbury St
Worcester, MA 01609-1120 - Phone
- (508) 798-8653
- Fax
- (508) 791-1647
- NPI assigned
- Aug 17, 2006
- 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
- Mr. Steven Willens
- Title
- Ceo
- Phone
- (508) 798-8653
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
629 Salisbury St
Worcester, MA 01609-1120
Mailing address
629 Salisbury St
Worcester, MA 01609-1120
Phone (508) 798-8653
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0600580 | Medicaid | MA |
Other names 1
- JHC Hospice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070605000391 | MA | Part A Provider - Hospice | 5890770523 | Practice locations: Worcester, MA |
Hospice certification: CCN 221569
- Legal name
- JEWISH HEALTHCARE CENTER INC
- Doing business as
- JHC HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Mar 8, 2006
- Last certification
- Jul 18, 2022
- Ownership / control type
- Non-Profit - Other
- Organization structure
- Corporation
- Incorporated
- Jul 24, 1978 in MA
- Enrollment address
- 646 Salisbury St
Worcester, MA 01609-1121
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Care Compare: Hospice
Medicare Care Compare- Listed as
- JHC Hospice
- Ownership
- Non-Profit
- Certified
- Mar 8, 2006
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D1047610 | JHC Hospice | Certificate of waiver | Nov 8, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Jewish Healthcare Center Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Worcester, MA
- NPI 1598755027
Ownership & related parties
All disclosed owners & managing parties 10
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Philip Sher | Corporate Director | Jul 1, 2015 | |
| Alan Yaffe | Corporate Director | Jul 1, 2007 | |
| Melvin Pelletz | Corporate Director | Jul 1, 2015 | |
| Harriette Chandler | Corporate Director | Jul 1, 2015 | |
| Philip Ostrow | Corporate Director | Jul 1, 2007 | |
| Steven Krintzman | Corporate Director | Jul 1, 2015 | |
| Joseph Seder | Corporate Director | Jul 1, 2015 | |
| Peter Herman | Corporate Director | Jul 1, 2015 | |
| Jay Aframe | Corporate Director | Jul 1, 2015 | |
| Vincent a Librandi | Corporate Director | Apr 6, 2023 | 100% |
| W-2 Managing Employee | Apr 6, 2023 | 100% | |
| Operational/Managerial Control | Apr 6, 2023 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 9
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331596800000",
"number": "1447364690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "629 SALISBURY ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016091120",
"telephone_number": "508-798-8653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "629 SALISBURY ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016091120",
"telephone_number": "508-798-8653",
"fax_number": "508-791-1647"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEWISH HEALTHCARE CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-17",
"last_updated": "2012-03-13",
"status": "A",
"authorized_official_last_name": "WILLENS",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "508-798-8653",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0600580",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "JHC 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 Mar 13, 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.
- 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.