Active NPI
Life Renewal Healthcare
- Home Health Agency
- Worcester, MA
National Provider Identifier
1902204530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- LIFE RENEWAL HEALTHCARE
- Practice address
- 250 Commercial St
Suite 440
Worcester, MA 01608-1726 - Phone
- (508) 373-8838
- NPI assigned
- Dec 14, 2014
- 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
- Dr. Debra Maddox
- Title
- Vice President
- Phone
- (508) 450-5882
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
250 Commercial St
Suite 440
Worcester, MA 01608-1726
Mailing address
250 Commercial St
Suite 440
Worcester, MA 01608-1726
Phone (508) 373-8838
National Provider Directory
National Provider DirectoryLocations
250 Commercial St
Ste 440
Worcester, MA 01608
Phone (508) 373-8838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418515200000",
"number": "1902204530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 COMMERCIAL ST",
"address_2": "SUITE 440",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081726",
"telephone_number": "508-373-8838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 COMMERCIAL ST",
"address_2": "SUITE 440",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081726",
"telephone_number": "508-373-8838"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE RENEWAL HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-14",
"last_updated": "2014-12-14",
"status": "A",
"authorized_official_last_name": "MADDOX",
"authorized_official_first_name": "DEBRA",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "508-450-5882",
"authorized_official_name_prefix": "Dr."
},
"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 Dec 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.