Healthcare Provider Details

I. General information

NPI: 1568593481
Provider Name (Legal Business Name): CENTER FOR LIVING AND WORKING, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2007
Last Update Date: 04/27/2022
Certification Date: 04/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

484 MAIN ST SUITE 345
WORCESTER MA
01608-1893
US

IV. Provider business mailing address

484 MAIN ST SUITE 345
WORCESTER MA
01608-1893
US

V. Phone/Fax

Practice location:
  • Phone: 508-798-0350
  • Fax: 508-797-4015
Mailing address:
  • Phone: 508-798-0350
  • Fax: 508-797-4015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier5800099
Identifier TypeMEDICAID
Identifier StateMA
Identifier Issuer

VIII. Authorized Official

Name: MS. MARGARET COFFIN
Title or Position: CEO
Credential:
Phone: 508-755-1101