Active NPI
Christopher House, Inc
- Skilled Nursing Facility
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0693
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0922129 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Worcester
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jul 1, 1990
- Medicare certification status
- Active
- Certified beds
- 156
- Penalties (3 years)
- 1
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 |
|---|---|---|---|
| 22D0880034 | Christopher House of Worcester | Certificate of waiver | Dec 6, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Gregory J Walsh | Corporate Officer | Nov 26, 1991 | |
| Corporate Director | Nov 26, 1991 | ||
| Daniel F Lenzo | Corporate Officer | Nov 26, 1991 | |
| Corporate Director | Nov 26, 1991 | ||
| James Madell | Corporate Director | Jul 18, 2010 | |
| The Grantham Group, LLC | Operational/Managerial Control | Sep 1, 1999 | |
| Sandra Bauer-Mahoney | W-2 Managing Employee | Nov 2, 2015 | 100% |
| Michael a Cucchiara | Corporate Director | Nov 17, 2017 | |
| Hudson Security Corporation | 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.
-
- Family Medicine Physician
- West Boylston, MA
- NPI 1437165586
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1972823870
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.