Organization · Type 2 NPI

Worcester Ma SNF LLC

Skilled Nursing Facility · Worcester, MA

NPI number 1437146503 Active

Practice location

119 Providence Street
Worcester, MA 01604

Fax (508) 860-5109

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	0726 (MA)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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NPI record

NPI: 1437146503
Entity type: Organization (Type 2)
Issued: Oct 4, 2005
Last updated: Feb 17, 2023
Status: Active
Subpart: Yes of Athena Health Care Associates, Inc

Other names

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Worcester Rehabilitation & Health Care Center · doing business as
Worcester Rehabilitation & Health Care Center · doing business as

Authorized official

Lawrence G. Santilli
Manager
(860) 751-3900

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1437146503

Worcester Ma SNF LLC's National Provider Identifier is 1437146503, issued on Oct 4, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Worcester, MA. The record was last updated on Feb 17, 2023.