Organization Active NPI

Christopher House, Inc

  • Skilled Nursing Facility
  • Worcester, MA
National Provider Identifier
1669472494
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0693 Issued in MA
Legal business name
CHRISTOPHER HOUSE, INC
Practice address
10 Mary Scano Dr
Worcester, MA 01605-2884
Phone
(508) 754-3800
Fax
(508) 755-2502
NPI assigned
Jul 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Authorized official

Name
Sandra Mahoney
Title
Administrator
Phone
(508) 796-8957

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0693 MA Primary

Addresses

Primary practice location

10 Mary Scano Dr
Worcester, MA 01605-2884

Mailing address

10 Mary Scano Dr
Worcester, MA 01605-2884
Phone (508) 754-3800

Other identifiers 1

IdentifierTypeStateIssuer
0922129MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051228000657 MA Part A Provider - Skilled Nursing Facility 1355363714 Practice locations: Worcester, MA

Skilled nursing facility certification: CCN 225385

Legal name
CHRISTOPHER HOUSE, INC
Doing business as
CHRISTOPHER HOUSE OF WORCESTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1990
Last certification
Jun 14, 2024
Beds
156
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Grantham Group Management Co.
Organization structure
CorporationNon-profit
Incorporated
Jul 4, 1991 in MA
Enrollment address
10 Mary Scano Dr
Worcester, MA 01605-2884
Nursing home name
CHRISTOPHER HOUSE OF WORCESTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Christopher House of WorcesterCCN 225385 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jul 1, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
156141.2 residents per day on average
Penalties (3 years)
1Fines totaling $8,512

Processed by Care Compare on Aug 1, 2026.

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
22D0880034Christopher House of Worcester10 Mary Scano Drive, Worcester, MA 01605Certificate of waiverDec 6, 2027

National Provider Directory

National Provider Directory

Locations

10 Mary Scano Dr
Worcester, MA 01605
Phone (508) 754-3800

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gregory J Walsh Individual Corporate OfficerPresident, Treasurer, Board Member Nov 26, 1991
Corporate DirectorPresident, Treasurer, Board Member Nov 26, 1991
Daniel F Lenzo Individual Corporate OfficerSecretary, Board Member Nov 26, 1991
Corporate DirectorSecretary, Board Member Nov 26, 1991
James Madell Individual Corporate DirectorBoard Member Jul 18, 2010
The Grantham Group, LLC Organization, Marlborough, MA For-profit Operational/Managerial Control Sep 1, 1999
Sandra Bauer-Mahoney Individual W-2 Managing EmployeeAdministrator Nov 2, 2015 100%
Michael a Cucchiara Individual Corporate DirectorBoard Member Nov 17, 2017
Hudson Security Corporation Organization, Hudson, MA Corporation, Financial institution, For-profit 5% Or Greater Mortgage Interest Mar 30, 2012 75.11%

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

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": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645401600000",
    "number": "1669472494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MARY SCANO DR",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052884",
            "telephone_number": "508-754-3800",
            "fax_number": "508-755-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MARY SCANO DR",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052884",
            "telephone_number": "508-754-3800",
            "fax_number": "508-755-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER HOUSE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "508-796-8957"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0922129",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.