Provider Demographics
NPI:1235126335
Name:CENTRAL MASS HEALTH SYSTEMS
Entity Type:Organization
Organization Name:CENTRAL MASS HEALTH SYSTEMS
Other - Org Name:PARSONS HILL NURSING & REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:I
Authorized Official - Last Name:KRAVETZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-791-4200
Mailing Address - Street 1:1350 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01603-1550
Mailing Address - Country:US
Mailing Address - Phone:508-791-4200
Mailing Address - Fax:508-791-0269
Practice Address - Street 1:1350 MAIN ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01603-1550
Practice Address - Country:US
Practice Address - Phone:508-791-4200
Practice Address - Fax:508-791-0269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4150314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0925926Medicaid
MA0925926Medicaid