Healthcare Provider Details

I. General information

NPI: 1689703068
Provider Name (Legal Business Name): NOTRE DAME HEALTH CARE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2007
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 PLANTATION ST
WORCESTER MA
01605-2376
US

IV. Provider business mailing address

555 PLANTATION ST
WORCESTER MA
01605-2376
US

V. Phone/Fax

Practice location:
  • Phone: 508-852-5505
  • Fax: 508-852-1162
Mailing address:
  • Phone: 508-852-5505
  • Fax: 508-852-1162

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081H0002X
TaxonomyHospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number StateMA

VIII. Authorized Official

Name: MR. PHILIP HICKEY
Title or Position: CEO/PRESIDENT
Credential:
Phone: 508-852-5505