NPIMap

Organization Active NPI

Notre Dame Health Care Center, Inc.

Doing business as Notre Dame Hospice

  • Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
  • Worcester, MA
National Provider Identifier
1689703068
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081H0002X
Legal business name
NOTRE DAME HEALTH CARE CENTER, INC.
Doing business as
Notre Dame Hospice
Notre Dame Palliative Care
Practice address
555 Plantation St
Worcester, MA 01605-2376
Phone
(508) 852-5505
Fax
(508) 852-1162
NPI assigned
Mar 3, 2007
Last updated
Mar 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Authorized official

Name
Mr. Philip Hickey
Title
Ceo/President
Phone
(508) 852-5505

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081H0002X Primary
Community Based Hospice Care Agency 251G00000X MA

Addresses

Primary practice location

555 Plantation St
Worcester, MA 01605-2376

Mailing address

555 Plantation St
Worcester, MA 01605-2376
Phone (508) 852-5505

Other identifiers 1

IdentifierTypeStateIssuer
0608602MedicaidMA

Other names 2

  • Notre Dame Hospice Doing business as
  • Notre Dame Palliative Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070419000562 MA Part A Provider - Hospice 2961440433 Practice locations: Worcester, MA
O20210304001510 MA Part B Supplier - Clinic/Group Practice 2961440433 Receives reassigned benefits from 2 practitioners
Practice locations: Worcester, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689703068. Details of each certification follow.

Hospice certification: CCN 221575

Legal name
NOTRE DAME HEALTH CARE CENTER INC
Doing business as
NOTRE DAME HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 5, 2007
Last certification
Jul 26, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationNon-profit
Enrollment address
555 Plantation St
Worcester, MA 01605-2376

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
Notre Dame HospiceCCN 221575 · All quality measures
Ownership
For-Profit
Certified
Jun 5, 2007
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Notre Dame Health Care Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 26

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

NameRoleSinceShare
Maryann Colaizzi Individual Corporate DirectorBoard Member Sep 1, 2025
Stephen Totino Individual Operational/Managerial ControlFinance Director Apr 25, 2007
Leonore Coan Individual Corporate DirectorBoard Member Nov 1, 2024
Jacqueline Murphy Individual Corporate DirectorBoard Member Sep 1, 2025
Notre Dame Health Care Center Inc Organization, Worcester, MA Non-profit Other Jun 1, 2007
Amy Meyer Individual W-2 Managing EmployeeClinical Director Nov 20, 2024
Operational/Managerial ControlClinical Director Nov 20, 2024
H Louis Rocheleau Individual Corporate DirectorBoard Member Nov 1, 2024
Tara L O'Connor Individual Corporate DirectorBoard Member Jun 14, 2022
Susan Keefe Individual W-2 Managing EmployeeAd; Jan 1, 2016
Operational/Managerial ControlDirector of Hospice Jan 1, 2016
Robert K Ferguson Individual Corporate DirectorBoard Member Sep 1, 2025
Cherie Sirard Individual W-2 Managing EmployeeVP - Training Quality & Compliance Mar 1, 2025
Operational/Managerial ControlV.P.-Training Quality & Compliance Mar 1, 2025
Patricia O'Brien Individual Corporate DirectorBoard Member Jun 14, 2022
Eric Torkornoo Individual Corporate DirectorBoard Member Sep 19, 2023
Charles Webb Individual Corporate DirectorBoard Member Sep 1, 2025
Kevin McGovern Individual Corporate DirectorBoard Member Sep 24, 2019
Brenda Rivard Individual Corporate DirectorBoard Member Jun 13, 2018
Sarah M McGee Individual Contracted Managing EmployeeMD; Jun 1, 2024
Elizabeth Murphy Individual Corporate DirectorBoard Member Sep 21, 2021
Mary D Roche Individual Corporate DirectorBoard Member Jul 1, 2017
Kevin Kozak Individual Corporate DirectorBoard Chairman Sep 18, 2018
Jennifer Garcia Individual W-2 Managing EmployeeDirector of Regulatory Compliance Jan 20, 2025
Operational/Managerial ControlDirector of Regulatory Compliance Jan 20, 2025
John E. Mannila Individual Corporate DirectorBoard Member May 17, 2022
Philip Hickey Individual Corporate OfficerCeo & President May 28, 2024
Kathleen Colin Individual Corporate DirectorBoard Member Oct 4, 2022
Patricia Toce Individual Corporate DirectorBoard Member Jun 14, 2022
Elaine Bain Individual Corporate DirectorBoard Member Sep 1, 2025

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 16

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1689703068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 PLANTATION ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052376",
            "telephone_number": "508-852-5505",
            "fax_number": "508-852-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 PLANTATION ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052376",
            "telephone_number": "508-852-5505",
            "fax_number": "508-852-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOTRE DAME HEALTH CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-03",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "HICKEY",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "508-852-5505",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2081H0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0608602",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Notre Dame Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Notre Dame Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Notre Dame Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.