Healthcare Provider Details
I. General information
NPI: 1821994518
Provider Name (Legal Business Name): HEARTLAND RIDGE POST ACUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/19/2026
Last Update Date: 10/19/2026
Certification Date: 10/19/2026
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
- Phone: 508-755-8605
- Fax:
- Phone: 508-755-8605
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AARON
CHESLEY
Title or Position: MANAGER
Credential:
Phone: 562-682-8864