Organization Active NPI

Saint Francis Home Adult Day Health

  • Skilled Nursing Facility
  • Worcester, MA
National Provider Identifier
1962532416
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
845 Issued in MA
Legal business name
SAINT FRANCIS HOME ADULT DAY HEALTH
Practice address
101 Plantation St
Worcester, MA 01604-3025
Phone
(508) 755-8605
Fax
(508) 791-6954
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Thomas A Devaney
Title
Controller
Phone
(508) 755-8605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 845 MA Primary

Addresses

Primary practice location

101 Plantation St
Worcester, MA 01604-3025

Mailing address

101 Plantation St
Worcester, MA 01604-3025
Phone (508) 755-8605

Other identifiers 2

IdentifierTypeStateIssuer
1948571OtherMAMEDICAID ADULT DAY HEALTH
0910899MedicaidMA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2107063Saint Francis Adult Day Health Program101 Plantation St, Worcester, MA 01604Certificate of waiverJan 5, 2028

National Provider Directory

National Provider Directory
Tax ID family
Saint Francis Home2 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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962532416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PLANTATION ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016043025",
            "telephone_number": "508-755-8605",
            "fax_number": "508-791-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PLANTATION ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016043025",
            "telephone_number": "508-755-8605",
            "fax_number": "508-791-6954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT FRANCIS HOME ADULT DAY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEVANEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "508-755-8605",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID ADULT DAY HEALTH",
            "identifier": "1948571",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0910899",
            "state": "MA"
        }
    ],
    "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 Aug 22, 2020; 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.