Wingate At Worcester
LBN: Senior Residential Care/Worcester, Inc.
Wingate At Worcester is an health care organization with primary practice located at 59 Acton St , Worcester MA 01604-4829. The organization recently has 2 registered licenses in different health care specialties including Hospitals / Long Term Care Hospital, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
Senior Residential Care/Worcester, Inc. can be contacted via phone (508) 791-3147, or through Levin, Tamilyn M. via phone (781) 707-9510.
Contact Information
Primary practice address
59 Acton St
Worcester MA 01604-4829
Phone: (508) 791-3147
Fax: (508) 753-6267
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Hospitals / Long Term Care Hospital | 282E00000X | 0723 | Massachusetts |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 0723 | Massachusetts |
Profile Details
| NPI number | 1962451542 |
|---|---|
| LBN Legal business name | Senior Residential Care/Worcester, Inc. |
| DBA Doing business as | Wingate At Worcester |
| Authorized official | Levin, Tamilyn M. ESQ. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 9th, 2006 |
| Last updated | Oct 21st, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962451542 | NPPES |
| New Jersey | MEDICAID | 0068047 | |
| New Jersey | MEDICAID | 00312074 | |
| New Jersey | MEDICAID | 02998176 | |
| New Jersey | MEDICAID | 00880373 | |
| New Jersey | MEDICAID | 00880364 | |
| New Jersey | MEDICAID | 110026673B | |
| New Jersey | MEDICAID | 000026450 | |
| New Jersey | MEDICAID | 110026673A | |
| New Jersey | MEDICAID | 30103097 |
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