NPIMap

Organization Active NPI

Elder Services of Worcester Area, Inc

  • Case Management Agency
  • Worcester, MA
National Provider Identifier
1568771004
Registry record updated Oct 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ELDER SERVICES OF WORCESTER AREA, INC
Practice address
411 Chandler St
Worcester, MA 01602-3339
Phone
(508) 756-1545
Fax
(508) 754-7771
NPI assigned
Oct 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2010

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

Authorized official

Name
Mrs. Mary Baltramaitis
Title
Fiscal Manager
Phone
(508) 756-1545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X MA Primary

Addresses

Primary practice location

411 Chandler St
Worcester, MA 01602-3339

Mailing address

411 Chandler St
Worcester, MA 01602-3339
Phone (508) 756-1545

Other identifiers 1

IdentifierTypeStateIssuer
1908863MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Elder Services of Worcester Area Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285891200000",
    "number": "1568771004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 CHANDLER ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016023339",
            "telephone_number": "508-756-1545",
            "fax_number": "508-754-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 CHANDLER ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016023339",
            "telephone_number": "508-756-1545",
            "fax_number": "508-754-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDER SERVICES OF WORCESTER AREA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-01",
        "last_updated": "2010-10-01",
        "status": "A",
        "authorized_official_last_name": "BALTRAMAITIS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "FISCAL MANAGER",
        "authorized_official_telephone_number": "508-756-1545",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1908863",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.