University Commons Nursing Care Center Partn

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

UNIVERSITY COMMONS NURSING CARE CENTER PARTN

Practice address

378 Plantation Street
Worcester, MA 01604

Phone

(508) 856-3092

Fax

(508) 334-7040

NPI assigned

Sep 16, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey L. Olson

Title

Financial Reporting Director

Phone

(508) 856-3092

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1881689644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 SHREWSBURY STREET",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01604",
            "telephone_number": "508-856-3092",
            "fax_number": "508-334-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 PLANTATION STREET",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01604",
            "telephone_number": "508-856-3092",
            "fax_number": "508-334-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY COMMONS NURSING CARE CENTER PARTN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "FINANCIAL REPORTING DIRECTOR",
        "authorized_official_telephone_number": "508-856-3092",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0921149",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Worcester, MA
• Providers in Worcester, MA by specialty
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.