Jeremiah'S Inn INC.
Substance Abuse Rehabilitation Facility in Worcester, Massachusetts
1679019731- Practice location
- 1059 Main St, Worcester, MA 01603-2421
- Phone
- 508-755-6403
- Fax
- 508-793-9568
- Last updated
- January 13, 2017
Jeremiah'S Inn INC. is a healthcare organization based in Worcester, MA. Jeremiah'S Inn INC. practices in Worcester, MA. The NPI Number for Jeremiah'S Inn INC. is 1679019731 and holds a License No. 0290 (MA). The current practice location address for Jeremiah'S Inn INC. is 1059 Main St, Worcester, MA 01603-2421 and can be reached out via phone at 508-755-6403 and via fax at 508-793-9568.
Provider Profile Details
- NPI Number
- 1679019731
- Provider Name
- Jeremiah'S Inn INC.
- Provider Entity Type
- Organization
- Address
- 1059 Main St, Worcester, MA 01603-2421
- Phone Number
- 508-755-6403
- Fax Number
- 508-793-9568
- Primary Taxonomy
- Substance Abuse Rehabilitation Facility · 324500000X
- Organization Subpart
- No
- Authorized Official
- Ms. Melissa Ann Waddell · Communications Coordinator · 508-755-6403
- Other Names
- Jeremiah'S Hospice (Former Legal Business Name)
- Provider Enumeration Date
- January 13, 2017
- Last Update Date
- January 13, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1059 Main St
Worcester, MA 01603-2421 - City
- Worcester
- State
- Massachusetts
- Zip
- 01603-2421
- Phone Number
- 508-755-6403
- Fax Number
- 508-793-9568
Provider Business Mailing Address Details
- Address
- 1059 Main St
Worcester, MA 01603-2421 - City
- Worcester
- State
- MA
- Zip
- 01603-2421
- Phone Number
- 508-755-6403
- Fax Number
- 508-793-9568
License Information
- License Number
- 0290
- License State
- MA
- Taxonomy
- Substance Abuse Rehabilitation Facility · 324500000X · 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 Jeremiah'S Inn INC.?
The NPI number of Jeremiah'S Inn INC. is 1679019731. It was assigned on January 13, 2017 and is currently active in the NPPES registry.
What is the specialty of Jeremiah'S Inn INC.?
Jeremiah'S Inn INC. is registered under the primary taxonomy Substance Abuse Rehabilitation Facility (code 324500000X), licensed in MA under license number 0290.
Where does Jeremiah'S Inn INC. practice?
The practice location is 1059 Main St, Worcester, MA 01603-2421. The office can be reached at 508-755-6403 (phone) or 508-793-9568 (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 1679019731 directly on the NPPES registry website.