Elder Services of Worcester Area, Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

ELDER SERVICES OF WORCESTER AREA, INC

Practice address

67 Millbrook St Ste 100
Worcester, MA 01606-2842

Phone

(508) 756-1545

Fax

(508) 754-7771

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Louis M Swan

Title

Executive Director

Phone

(508) 756-1545

Specialties & licenses 3

Addresses

Other identifiers 1

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.

• Elder Services of Worcester Area, Inc

  • Case Management Agency
  • Worcester, MA
  • NPI 1568771004
  NPD tax ID

Locations

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1689707770",
    "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": "016023329",
            "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": "67 MILLBROOK ST STE 100",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062842",
            "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": "2007-03-14",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "SWAN",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "508-756-1545",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0603678",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zendee Rose P. Elaba, MD
• Kimberly Kirstin Elbirt, PHD, MA, LMHC, LMT
• Amber Elcocks
• Elder Consultant Services, Inc.
• Elder Services of Worcester Area, Inc
• Linda Marie Eldridge, LPN
• Elemental Wellness Center
• Elevate Creative & Care Inc
• Tania Elhoussan
• Heather L Elias, M.D.

• Case Management Agency in Worcester, MA
• Providers in Worcester, MA by specialty
• Case Management Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.