NPIMap

Organization Active NPI

Notre Dame Health Care Center, Inc.

  • Assisted Living Facility
  • Worcester, MA
National Provider Identifier
1689796195
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
NOTRE DAME HEALTH CARE CENTER, INC.
Practice address
555 Plantation St
Worcester, MA 01605-2376
Phone
(508) 852-5800
Fax
(508) 852-1700
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Ms. Margaret B Coffin
Title
Executive Director
Phone
(508) 852-5800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X MA Primary

Addresses

Primary practice location

555 Plantation St
Worcester, MA 01605-2376

Mailing address

555 Plantation St
Worcester, MA 01605-2376
Phone (508) 852-5800

Other identifiers 1

IdentifierTypeStateIssuer
1900030MedicaidMA

Other names 2

  • Notre Dame Assisted Living Facility Doing business as
  • Notre Dame Du Lac Doing business as

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.

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1689796195",
    "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": "508-852-5800",
            "fax_number": "508-852-1700"
        },
        {
            "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": "508-852-5800",
            "fax_number": "508-852-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOTRE DAME HEALTH CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "COFFIN",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "508-852-5800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1900030",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Notre Dame Assisted Living Facility",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Notre Dame Assisted Living Facility",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Notre Dame Du Lac",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 16, 2018; 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.