AUTUMN VILLAGE LLC (NPI# 1003815564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003815564 |
| Entity Type | Organization |
| Organization Name | AUTUMN VILLAGE LLC |
| Practice Address |
25 Oriol Dr Worcester MA 01605-1911 |
| Practice Telephone | 5088523330 |
| Practice Fax Number | 5085951008 |
| Mailing Telephone | 5088523330 |
| Mailing Fax Number | 5085951008 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. SEAN D'URSO (OWNER) |
| Authorized Official Telephone | 5088523330 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0713 | MA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0928402 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | AUTUMN VILLAGE LLC | 17480 Shelburne Road, Cleveland Heights, Oh 44118 |
| Street Address |
25 ORIOL DR |
| City | WORCESTER |
| State | MA |
| Zip Code | 01605-1911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588296321 | Vero Health Xvi, LLC | Skilled Nursing Facility | 25 Oriol Dr, Worcester, MA 01605-1911 | 2020-02-10 |
| 1437571130 | Worcester Health Center, LLC | Skilled Nursing Facility | 25 Oriol Dr, Worcester, MA 01605-1911 | 2014-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083228340 | Francisca A Bediako | Registered Nurse | Commonwealth Care Alliance, 100 North Parkway-suite # 202, Worcester, MA 01605 | 2020-09-03 |
| 1922660646 | Jenna Patricia Mullarkey | Counselor | Ummmc, Hahnemann Family Health Center, 279 Lincoln Street, Worcester, MA 01605 | 2019-07-02 |
| 1295219293 | Valerie Ann Wedge | Social Worker | 382 Plantation Street, Worcester, MA 01605 | 2018-09-17 |
| 1154800290 | Keri Innis-grant | Counselor | 108 Grove Street, Ste Ll11, Worcester, MA 01605 | 2018-08-09 |
| 1184119463 | Madiinah Namutebi | Registered Nurse | 56 Olga Ave, Worcester, MA 01605 | 2018-06-28 |
| 1841789310 | Ashley Murray | Psychologist | 361 Plantation St., Attn: Forensic Services, Worcester, MA 01605 | 2018-05-09 |
| 1184126419 | Nadia Saforo | Nurse Practitioner | 509 Plantation St Apt 221, Worcester, MA 01605 | 2018-03-02 |
| 1548779044 | Arnold Kamau Thuku | Behavioral Analyst | 55 Erie Ave, Worcester, MA 01605 | 2017-09-27 |
| 1417466483 | Sabine Erica Charles-arbouet | Registered Nurse | 25 Oriol Drive, Worcester, MA 01605 | 2017-09-21 |
| 1548787864 | Alyssa Lynn Champagne | Behavioral Analyst | 19 Judson Rd, Worcester, MA 01605 | 2017-08-28 |
| Find all providers in zip 01605 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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 services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780738914 | Odd Fellows Home of Massachusetts, Inc | Skilled Nursing Facility | 104 Randolph Rd, Worcester, MA 01606-2465 | 2007-01-23 |
| 1366591919 | Salem Community Corporation | Skilled Nursing Facility | 87 Briarwood Cir, Worcester, MA 01606-1225 | 2007-01-10 |
| 1366500498 | Chs of Worcester, Inc | Skilled Nursing Facility | 39 Queen St, Worcester, MA 01610-2433 | 2006-12-04 |
| 1043262926 | Ggnsc Worcester LLC | Skilled Nursing Facility | 383 Mill St, Worcester, MA 01602-2414 | 2006-05-17 |
| 1013984871 | West Side Corporation | Skilled Nursing Facility | 35 Fruit St, Worcester, MA 01609-2198 | 2006-03-01 |
| 1669447959 | Houghton Corporation | Skilled Nursing Facility | 116 Houghton Street, Worcester, MA 01604-3997 | 2006-02-21 |
| 1396736930 | Notre Dame Health Care Center,inc | Skilled Nursing Facility | 559 Plantation St, Worcester, MA 01605-2350 | 2005-11-02 |
| 1467443374 | Saint Francis Home | Skilled Nursing Facility | 101 Plantation St, Worcester, MA 01604-3025 | 2005-10-31 |
| 1598755027 | Jewish Healthcare Center, Inc | Skilled Nursing Facility | 629 Salisbury St, Worcester, MA 01609-1120 | 2005-10-26 |
| 1437146503 | Worcester Ma Snf LLC | Skilled Nursing Facility | 119 Providence Street, Worcester, MA 01604 | 2005-10-04 |
| Find all providers in WORCESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.