Provider Demographics
NPI:1962532416
Name:SAINT FRANCIS HOME ADULT DAY HEALTH
Entity type:Organization
Organization Name:SAINT FRANCIS HOME ADULT DAY HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:DEVANEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-755-8605
Mailing Address - Street 1:101 PLANTATION ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01604-3025
Mailing Address - Country:US
Mailing Address - Phone:508-755-8605
Mailing Address - Fax:508-791-6954
Practice Address - Street 1:101 PLANTATION ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01604-3025
Practice Address - Country:US
Practice Address - Phone:508-755-8605
Practice Address - Fax:508-791-6954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA845314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1948571OtherMEDICAID ADULT DAY HEALTH
MA0910899Medicaid
MA225438Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER