Organization Active NPI

Christopher House Assisted Living ,LP

  • Assisted Living Facility
  • Worcester, MA
National Provider Identifier
1477689388
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CHRISTOPHER HOUSE ASSISTED LIVING ,LP
Practice address
20 Mary Scano Dr
Worcester, MA 01605-2892
Phone
(508) 792-1456
Fax
(508) 792-3156
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Wendi E Baron-Willette
Title
Executive Director
Phone
(508) 792-1456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X MA Primary

Addresses

Primary practice location

20 Mary Scano Dr
Worcester, MA 01605-2892

Mailing address

20 Mary Scano Dr
Worcester, MA 01605-2892
Phone (508) 792-1456

Other identifiers 1

IdentifierTypeStateIssuer
1903128MedicaidMA

Other names 1

  • Christopher Heights of Worcester Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2205512Christopher Heights of Worcester20 Mary Scano Drive, Worcester, MA 01605Certificate of waiverDec 14, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477689388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MARY SCANO DR",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052892",
            "telephone_number": "508-792-1456",
            "fax_number": "508-792-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MARY SCANO DR",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052892",
            "telephone_number": "508-792-1456",
            "fax_number": "508-792-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER HOUSE ASSISTED LIVING ,LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARON-WILLETTE",
        "authorized_official_first_name": "WENDI",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "508-792-1456",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1903128",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christopher Heights of Worcester",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.