Provider Demographics
NPI:1831337211
Name:JEWISH HEALTHCARE CENTER INC.
Entity type:Organization
Organization Name:JEWISH HEALTHCARE CENTER INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-798-8653
Mailing Address - Street 1:629 SALISBURY ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01609-1120
Mailing Address - Country:US
Mailing Address - Phone:508-798-8653
Mailing Address - Fax:
Practice Address - Street 1:629 SALISBURY ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01609-1120
Practice Address - Country:US
Practice Address - Phone:508-798-8653
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JEWISH HEALTHCARE CENTER INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-01-23
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health