Active NPI
Forndawantab
- Home Health Agency
- Worcester, MA
National Provider Identifier
1841034857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- FORNDAWANTAB
- Practice address
- 61 Merrifield St
Worcester, MA 01605-2924 - Phone
- (346) 232-0150
- NPI assigned
- Jun 24, 2024
- 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
- Mr. Julius Ndasi
- Title
- Manager
- Phone
- (346) 232-0150
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
61 Merrifield St
Worcester, MA 01605-2924
Mailing address
61 Merrifield St
Worcester, MA 01605-2924
Phone (346) 232-0150
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719187200000",
"number": "1841034857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 MERRIFIELD ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052924",
"telephone_number": "346-232-0150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 MERRIFIELD ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052924",
"telephone_number": "346-232-0150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORNDAWANTAB",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-24",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A",
"authorized_official_last_name": "NDASI",
"authorized_official_first_name": "JULIUS",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "346-232-0150",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jun 24, 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.