WORCESTER LIGHT, LLC


Address: 1398 Main St, Worcester, MA 01603
Phone: 5087561515

WORCESTER LIGHT, LLC (NPI# 1245475847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245475847
Entity Type Organization
Organization Name WORCESTER LIGHT, LLC
Other Organization Name ANNA MARIA REST HOME
Practice Address 1398 Main St
Worcester
MA 01603
Practice Telephone 5087561515
Mailing Telephone 5087561515
Enumeration Date 2008-12-10
Last Update Date 2008-12-10
Authorized Official Name MR. STEVE DASHEVSKY (OWNER)
Authorized Official Telephone 5087561515
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 311Z00000X Custodial Care Facility Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Anna Maria Rest Home Doing Business As Name - Organization

Office Location

Street Address 1398 MAIN ST
City WORCESTER
State MA
Zip Code 01603

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982699666 Anna Maria Rest Home, Inc Custodial Care Facility 1398 Main St, Worcester, MA 01603-1524 2005-09-19
1780821538 Webster Light LLC Custodial Care Facility 1398 Main St, Worcester, MA 01603-1524 2009-01-15

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1497275796 Ardent Companion Homecare LLC Home Health 93 Stafford Street, Suite 202, Worcester, MA 01603 2017-06-27
1144769167 Aloria Health of Worcester, LLC Community Based Residential Treatment Facility, Mental Illness 1183 Main St, Worcester, MA 01603 2017-02-23
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1760854699 Accurate Health Care LLC Custodial Care Facility One Corporate Square, Hartford, CT 01603 2015-10-30
1093124182 Taylor Pearson Counselor 24 Alsada Drive, Worcester, MA 01603 2014-08-04
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Taxonomy Information

Taxonomy Code 311Z00000X
Grouping Nursing & Custodial Care Facilities
Classification Custodial Care Facility

Taxonomy Definition

A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.
Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225577653 Oasis At Dodge Park, LLC Custodial Care Facility 102 Randolph Rd, Worcester, MA 01606-2465 2017-02-17
1912203217 Goddard/homestead Custodial Care Facility 10 Homestead Avenue, Worcester, MA 01610 2011-02-03
1538156104 Lange Rest Homes Custodial Care Facility 24 Chester St, Worcester, MA 01605-3121 2005-09-29
1093702664 Lange Rest Homes Custodial Care Facility 572 Burncoat St, Worcester, MA 01605 2005-09-29
1285621854 Lange Rest Homes Custodial Care Facility 453 Cambridge St, Worcester, MA 01610-2601 2005-09-29
1982849584 Elita 7, LLC Custodial Care Facility 16 Marble St, Worcester, MA 01603 2008-12-10
1639342843 Willows At Worcester LLC Custodial Care Facility 101 Barry Rd, Worcester, MA 01609-1154 2008-04-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023588043 Caregiver Homes of South Dakota Inc Custodial Care Facility 120 Saint James Ave Fl 4, Boston, MA 02116-5001 2018-12-03
1295169977 Boston Nutrition Care Custodial Care Facility 51 Neponset Ave, Dorchester, MA 02122-3321 2013-08-29
1871817569 Horn Home for Aged Custodial Care Facility 98 Smith St, Lowell, MA 01851-2614 2010-03-24
1114166188 Oosterman Rest Home Inc. Custodial Care Facility 93 Laurel St, Melrose, MA 02176-4044 2009-02-13
1124267299 Oosterman's Melrose Rest Home Inc. Custodial Care Facility 101 Laurel St, Melrose, MA 02176-4044 2009-02-13
1265608236 Sophia Snow House, Inc. Custodial Care Facility 1215 Centre St, West Roxbury, MA 02132-7701 2008-04-30
1851579031 Ez Home Care Custodial Care Facility 85 Alexander St, Dorchester, MA 02125-2727 2008-02-09
1891989000 Davenport Memorial Foundation Custodial Care Facility 70 Salem St, Malden, MA 02148-5208 2007-08-30
1588783005 Brookhaven Rest Home Custodial Care Facility W Main Street, W. Brookfield, MA 01585 2007-03-28
1376661835 Maple Hill Rest Home Inc Custodial Care Facility 156 Mill St, Springfield, MA 01108-1022 2007-03-26
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Competitor

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City WORCESTER
Zip Code 01603

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Dataset Information

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.

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