Healthcare Provider Details

I. General information

NPI: 1467443374
Provider Name (Legal Business Name): SAINT FRANCIS HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 PLANTATION ST
WORCESTER MA
01604-3025
US

IV. Provider business mailing address

101 PLANTATION ST
WORCESTER MA
01604-3025
US

V. Phone/Fax

Practice location:
  • Phone: 508-755-8605
  • Fax: 508-791-6954
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number0845
License Number StateMA

VII. Legacy identifiers

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

VIII. Authorized Official

Name: MS. LISA PIEKARCZYK
Title or Position: ADMINISTRATOR
Credential:
Phone: 508-755-8605