Anna Maria Rest Home, Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

ANNA MARIA REST HOME, INC

Practice address

1398 Main St
Worcester, MA 01603-1524

Phone

(508) 756-1515

Fax

(508) 831-7938

NPI assigned

Sep 19, 2005

Organization subpart

No

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

Authorized official

Name

Jena Kuzdzal

Title

Bookkeeper

Phone

(508) 949-7455

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982699666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1398 MAIN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016031524",
            "telephone_number": "508-756-1515",
            "fax_number": "508-831-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1398 MAIN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016031524",
            "telephone_number": "508-756-1515",
            "fax_number": "508-831-7938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA MARIA REST HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUZDZAL",
        "authorized_official_first_name": "JENA",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "508-949-7455"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5500036",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Anim, LICSW
• Matilda Mac-Garet Aning-Dei
• Kelsey Lynn Anisko
• Bernice Ankomah
• Sally Ankomah
• Juliet Ntriwaa Annan, RN, BSN
• Briana Anneus
• Lori Annis
• Agnes Annor, RN
• Ellen Annor, PMHNP-BC

• Adult Care Home Facility in Worcester, MA
• Providers in Worcester, MA by specialty
• Adult Care Home Facility in Massachusetts

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.