Organization Active NPI

Life Renewal Healthcare

  • Home Health Agency
  • Worcester, MA
National Provider Identifier
1902204530
Registry record updated Dec 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Dec 14, 2014

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.