Community Healthlink Inc in Worcester - Community Based Residential Treatment Facility, Mental Illness
Community Healthlink Inc - NPI 1649293028
Community Healthlink Inc is a Community Based Residential Treatment Facility, Mental Illness in Worcester, Massachusetts. Community Healthlink Inc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Community Healthlink Inc is 1649293028. The last update date is 2007-10-25.
Community Healthlink Inc's current location address is 12 Queen Street, Worcester, Massachusetts. You can contact this provider via phone number 5088601260 and fax number 5088601115. The mailing address for Community Healthlink Inc is 12 Queen Street, Worcester, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Healthlink Inc |
|---|---|
| Address | 12 Queen Street, Worcester, Massachusetts |
| Phone Number | 5088601260 |
| Fax Number | 5088601115 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Oshlag A. Jordan |
| Credentials | LICSW |
| Telephone Number | 5088601163 |
NPI Number Detail
| NPI Number | 1649293028 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2007-10-25 |
Provider Mailing Address Detail
| Address | 12 Queen Street |
|---|---|
| City | Worcester |
| State | Massachusetts (MA) |
| Post Code | 1610 |
| Phone Number | 5088601260 |
| Fax Number | 5088601115 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | 2R006 |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1308076 | MA | -- | |
| 1307002 | MA | -- | |
| 1308742 | MA | -- | |
| 1303007 | MA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Community Healthlink Inc by the Centers for Medicare & Medicaid Services?
The Community Healthlink Inc has been assigned the NPI (National Provider Identifier) 1649293028. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Community Healthlink Inc is physically located?
The Community Healthlink Inc is physically situated at the following address: 12 Queen Street, Worcester, MA, 1610.
What is Community Healthlink Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Community Healthlink Inc's area of specialization is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy code that categorizes this field of practice is 320800000X.
On what date did the Community Healthlink Inc receive the assignment of its 1649293028 from the Centers for Medicare & Medicaid Services?
The Community Healthlink Inc was issued its 1649293028 by the Centers for Medicare & Medicaid Services on 2006-07-26.
As of what date were the details related to Community Healthlink Inc most recently updated or revised?
The information pertaining to Community Healthlink Inc, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-25.