Autumn Village LLC
Skilled Nursing Facility in Worcester, Massachusetts
1003815564- Practice location
- 25 Oriol Dr, Worcester, MA 01605-1911
- Phone
- 508-852-3330
- Fax
- 508-595-1008
- Last updated
- August 22, 2020
Autumn Village LLC is a healthcare organization based in Worcester, MA. Autumn Village LLC practices in Worcester, MA. The NPI Number for Autumn Village LLC is 1003815564 and holds a License No. 0713 (MA). The current practice location address for Autumn Village LLC is 25 Oriol Dr, Worcester, MA 01605-1911 and can be reached out via phone at 508-852-3330 and via fax at 508-595-1008.
Provider Profile Details
- NPI Number
- 1003815564
- Provider Name
- Autumn Village LLC
- Provider Entity Type
- Organization
- Address
- 25 Oriol Dr, Worcester, MA 01605-1911
- Phone Number
- 508-852-3330
- Fax Number
- 508-595-1008
- Primary Taxonomy
- Skilled Nursing Facility · 314000000X
- Organization Subpart
- No
- Authorized Official
- Mr. Sean D'Urso · Owner · 508-852-3330
- Provider Enumeration Date
- July 18, 2005
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 25 Oriol Dr
Worcester, MA 01605-1911 - City
- Worcester
- State
- Massachusetts
- Zip
- 01605-1911
- Phone Number
- 508-852-3330
- Fax Number
- 508-595-1008
Provider Business Mailing Address Details
- Address
- 25 Oriol Dr
Worcester, MA 01605-1911 - City
- Worcester
- State
- MA
- Zip
- 01605-1911
- Phone Number
- 508-852-3330
- Fax Number
- 508-595-1008
License Information
- License Number
- 0713
- License State
- MA
- Taxonomy
- Skilled Nursing Facility · 314000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Autumn Village LLC?
The NPI number of Autumn Village LLC is 1003815564. It was assigned on July 18, 2005 and is currently active in the NPPES registry.
What is the specialty of Autumn Village LLC?
Autumn Village LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in MA under license number 0713.
Where does Autumn Village LLC practice?
The practice location is 25 Oriol Dr, Worcester, MA 01605-1911. The office can be reached at 508-852-3330 (phone) or 508-595-1008 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003815564 directly on the NPPES registry website.