Autumn Village Llc

LBN: Autumn Village Llc
Autumn Village Llc is an health care organization with primary practice located at 25 Oriol Dr , Worcester MA 01605-1911. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Autumn Village Llc can be contacted via phone (508) 852-3330, or through D'Urso, Sean via phone (508) 852-3330.

Contact Information

Primary practice address
25 Oriol Dr Worcester MA 01605-1911
Phone: (508) 852-3330
Fax: (508) 595-1008
Website:
Map and Directions
Authorized official contact:
Name: D'Urso, Sean
Phone: (508) 852-3330

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0713 Massachusetts

Profile Details

NPI number 1003815564
LBN Legal business name Autumn Village Llc
DBA Doing business as
Authorized official D'Urso, Sean
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2005
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003815564 NPPES
Massachusetts MEDICAID 0928402

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