Autumn Village Llc in Worcester - Skilled Nursing Facility
Autumn Village Llc - NPI 1003815564
Autumn Village Llc is a Skilled Nursing Facility in Worcester, Massachusetts. Autumn Village Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Autumn Village Llc is 1003815564. The last update date is 2020-08-22.
Autumn Village Llc's current location address is 25 Oriol Dr, Worcester, Massachusetts. You can contact this provider via phone number 5088523330 and fax number 5085951008. The mailing address for Autumn Village Llc is 25 Oriol Dr, Worcester, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Autumn Village Llc |
|---|---|
| Address | 25 Oriol Dr, Worcester, Massachusetts |
| Phone Number | 5088523330 |
| Fax Number | 5085951008 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | D'Urso Sean |
| Telephone Number | 5088523330 |
NPI Number Detail
| NPI Number | 1003815564 |
|---|---|
| Provider Enumeration Date | 2005-07-18 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 25 Oriol Dr |
|---|---|
| City | Worcester |
| State | Massachusetts (MA) |
| Post Code | 16051911 |
| Phone Number | 5088523330 |
| Fax Number | 5085951008 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 713 |
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Definition: (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 serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 928402 | MA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Autumn Village Llc by the Centers for Medicare & Medicaid Services?
The Autumn Village Llc has been assigned the NPI (National Provider Identifier) 1003815564 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Autumn Village Llc is physically located?
The Autumn Village Llc is situated at the following address: 25 Oriol Dr, Worcester, MA 16051911.
What is Autumn Village Llc's area of expertise and its corresponding taxonomy classification?
The Autumn Village Llc's field of specialization is Skilled Nursing Facility, and it falls under the taxonomy code 314000000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1003815564 to Autumn Village Llc?
The Centers for Medicare & Medicaid Services assigned the 1003815564 to Autumn Village Llc on 2005-07-18.
As of what date were the details related to Autumn Village Llc most recently updated or revised?
The information pertaining to Autumn Village Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
NPI Number: 1932102142
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