Organization Active NPI

Maison de Vie LLC

  • In Home Supportive Care Agency
  • Worcester, MA
National Provider Identifier
1982571592
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MAISON DE VIE LLC
Doing business as
Amada Senior Care Worcester South MA
Practice address
120 Front St Ste 650
Worcester, MA 01608-1413
Phone
(508) 379-3246
Fax
(508) 379-3230
NPI assigned
Oct 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Authorized official

Name
Michael Chisholm
Title
Owner
Phone
(508) 379-3246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

120 Front St Ste 650
Worcester, MA 01608-1413

Mailing address

120 Front St Ste 650
Worcester, MA 01608-1413
Phone (508) 379-3246

Other names 1

  • Amada Senior Care Worcester South MA Doing business as

National Provider Directory

National Provider Directory

Locations

120 Front St
Ste 650
Worcester, MA 01608
Phone (508) 379-3246

NPI Registry JSON

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1982571592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 FRONT ST STE 650",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081413",
            "telephone_number": "508-379-3246",
            "fax_number": "508-379-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 FRONT ST STE 650",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081413",
            "telephone_number": "508-379-3246",
            "fax_number": "508-379-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAISON DE VIE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-19",
        "status": "A",
        "authorized_official_last_name": "CHISHOLM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-379-3246"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amada Senior Care Worcester South MA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 20, 2025; 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.