OrganizationActive
Jeremiah'S Inn Inc.
NPI 1679019731 · Substance Abuse Rehabilitation Facility · Worcester, MA
Provider details
- NPI number
- 1679019731
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Melissa Waddell, Communications Coordinator(508) 755-6403
- License
- 0290 (MA)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
1059 Main St
Worcester, MA 01603-2421
Phone: (508) 755-6403
Fax: (508) 793-9568
Approximate (ZIP-level) locationGet directions
Mailing address
1059 Main St
Worcester, MA 01603-2421
Other names (DBA / former)
- Former legal business name
- Jeremiah'S Hospice
Registry dates
- Enumerated
- 2017-01-13
- Last updated
- 2017-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.