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Organization Active NPI

Westborough Behavioral Healthcare Hospital, LLC

  • Psychiatric Hospital
  • Westborough, MA
National Provider Identifier
1861901910
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
WESTBOROUGH BEHAVIORAL HEALTHCARE HOSPITAL, LLC
Practice address
300 Friberg Pkwy
Westborough, MA 01581-3900
Phone
(508) 329-6300
NPI assigned
Sep 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Authorized official

Name
Hana Attar
Title
VP Managing Council
Phone
(248) 905-5091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X MA Primary

Addresses

Primary practice location

300 Friberg Pkwy
Westborough, MA 01581-3900

Mailing address

300 Friberg Pkwy
Westborough, MA 01581-3900
Phone (508) 329-6300

Other names 1

  • Westborough Behavioral Healthcare Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171130001587 MA Part A Provider - Hospital 6305103250 Practice locations: Westborough, MA

Hospital certification: CCN 224044

Legal name
WESTBOROUGH BEHAVIORAL HEALTHCARE HOSPITAL, LLC
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Jan 24, 2018
Last certification
Jan 24, 2018
Beds
152
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Feb 10, 2016 in MA
Enrollment address
300 Friberg Pkwy
Westborough, MA 15813900
Other Hospital Practice Location
Hospital subgroups
Psychiatric

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: Hospital

Medicare Care Compare
Listed as
Westborough Behavioral Healthcare Hospital LLCCCN 224044
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
Westborough Behavioral Healthcare Hospital LLC2 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.

Locations

300 Friberg Pkwy
Westborough, MA 01581
Phone (508) 329-6158

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Carmen Addario Individual Corporate OfficerCfo Mar 14, 2022 50%
W-2 Managing EmployeeCfo Mar 14, 2022 50%
Operational/Managerial ControlCfo Mar 14, 2022 50%
Signature Healthcare Services, LLC Organization, Troy, MI LLC, Management services company, For-profit 5% Or Greater Direct Ownership Interest Feb 10, 2016 100%
Michelle Lynn Individual Corporate OfficerCeo Apr 5, 2021 100%
Operational/Managerial ControlCeo Apr 5, 2021 100%
Soon Kim Individual 5% Or Greater Indirect Ownership Interest Feb 10, 2016 100%

Facilities with the same owner 16

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 16

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 8

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": "1505865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1861901910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FRIBERG PKWY",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015813900",
            "telephone_number": "508-329-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FRIBERG PKWY",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015813900",
            "telephone_number": "508-329-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTBOROUGH BEHAVIORAL HEALTHCARE HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-20",
        "last_updated": "2023-09-12",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "ATTAR",
        "authorized_official_first_name": "HANA",
        "authorized_official_title_or_position": "VP MANAGING COUNCIL",
        "authorized_official_telephone_number": "248-905-5091"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westborough Behavioral Healthcare Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Westborough Behavioral Healthcare Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westborough, MA

Sources for this page

Verify at the official NPI Registry.