Goddard/Homestead

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

GODDARD/HOMESTEAD

Doing business as

Homestead Hall

Practice address

10 Homestead Avenue
Worcester, MA 01610

Phone

(508) 755-7915

NPI assigned

Feb 3, 2011

Last updated

Feb 3, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Margaret P. Naylor

Title

Executive Director

Phone

(508) 753-4890

Specialties & licenses 1

Addresses

Other names 1

• Homestead Hall Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296691200000",
    "number": "1912203217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 MAIN STREET",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01603",
            "telephone_number": "508-753-4890",
            "fax_number": "508-797-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HOMESTEAD AVENUE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01610",
            "telephone_number": "508-755-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODDARD/HOMESTEAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-03",
        "last_updated": "2011-02-03",
        "status": "A",
        "authorized_official_last_name": "NAYLOR",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "508-753-4890",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homestead Hall",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristen Marie Glover
• Jeffrey S. Glynn, RN
• Molly K Glynn, PA-C
• Melanie M Gnazzo, MD
• Monica A Gobran, D.M.D.
• Richard P. Goddeau Jr., D.O.
• Natalie M. Godfrey, M.D.
• Katelyn Godfroy
• Ronda Godin
• Amanda Goding

• Custodial Care Facility in Worcester, MA
• Providers in Worcester, MA by specialty
• Custodial Care Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.