NPIMap

Organization Active NPI

Family Health Center of Worcester, Inc.

Doing business as Worcester Health Care for the Homeless

  • Federally Qualified Health Center (FQHC)
  • Worcester, MA
National Provider Identifier
1720647209
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
FAMILY HEALTH CENTER OF WORCESTER, INC.
Doing business as
Worcester Health Care for the Homeless
Practice address
199 Chandler St FL 4
Worcester, MA 01609-3088
Phone
(508) 860-7888
Fax
(508) 796-7014
NPI assigned
Jun 10, 2019
Last updated
Dec 3, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
FAMILY HEALTH CENTER OF WORCESTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
Alyda Justiniano-Franzel
Title
Manager of Provider Relations/Cred.
Phone
(508) 860-7962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

199 Chandler St FL 4
Worcester, MA 01609-3088

Mailing address

26 Queen Street
Credentialing Dept
Worcester, MA 01610-2473
Phone (508) 860-7962

Other names 1

  • Worcester Health Care for the Homeless Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200410000984 MA Part A Provider - Federally Qualified Health Center (FQHC) 4789670985 Practice locations: Worcester, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720647209. Details of each certification follow.

Federally qualified health center certification: CCN 221954

Legal name
FAMILY HEALTH CENTER OF WORCESTER, INC.
Doing business as
WORCESTER HEALTH CARE FOR THE HOMELESS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 10, 2020
Last certification
Apr 10, 2020
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Mar 15, 1972 in MA
Enrollment address
199 Chandler St
FL 4
Worcester, MA 16093088

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Family Health Center of Worcester Inc10 organizations share this tax ID, including this one
Part of
Family Health Center of Worcester Inc

Other organizations with this tax ID 9

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

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Lynda E Rowe Individual Operational/Managerial ControlBoard Member Jul 1, 2019
Joseph O Scardino Individual Operational/Managerial ControlBoard Member Jul 1, 2019
Peter J Martin Individual Operational/Managerial ControlBoard Member Jul 1, 2019
Susan Sleigh Individual Corporate OfficerChief Operating Officer Sep 1, 2020 1%
W-2 Managing Employee Oct 1, 2007 1%
Doreen M Samuels Individual Operational/Managerial ControlBoard Member Jul 1, 2019
Ellen More Individual Operational/Managerial ControlBoard Member Jul 1, 2019
John Condon Individual Operational/Managerial ControlBoard Member Jul 1, 2019
Alyda Justiano-Franzel Individual W-2 Managing EmployeeMGR. Provider Relations Jul 1, 2019
John True Individual Operational/Managerial ControlBoard Member Jul 1, 2019
Phillip R Magnusson Individual Operational/Managerial ControlBoard Member Jul 1, 2019
Anna Whitted Individual Operational/Managerial ControlBoard Member Jul 1, 2019
Louis a Brady Individual Corporate OfficerChief Executive Officer Jul 1, 2019
Corporate Director Jul 1, 2019
W-2 Managing Employee Jul 1, 2019
Operational/Managerial ControlCeo/President Jul 1, 2019
Esther Tendo Individual Operational/Managerial ControlBoard Member Jul 1, 2019
Janice Morganjones Individual Operational/Managerial ControlBoard Member Jul 1, 2019

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1720647209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 QUEEN STREET",
            "address_2": "CREDENTIALING DEPT",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016102473",
            "telephone_number": "508-860-7962",
            "fax_number": "508-796-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 CHANDLER ST FL 4",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016093088",
            "telephone_number": "508-860-7888",
            "fax_number": "508-796-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH CENTER OF WORCESTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY HEALTH CENTER OF WORCESTER, INC.",
        "enumeration_date": "2019-06-10",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "JUSTINIANO-FRANZEL",
        "authorized_official_first_name": "ALYDA",
        "authorized_official_title_or_position": "MANAGER OF PROVIDER RELATIONS/CRED.",
        "authorized_official_telephone_number": "508-860-7962"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Worcester Health Care for the Homeless",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.