NOTRE DAME HEALTH CARE CENTER,INC – Skilled Nursing Facility, NPI 1396736930

NOTRE DAME HEALTH CARE CENTER,INC is a healthcare provider. based in Worcester, Massachusetts. specializing in Skilled Nursing Facility. The organization holds a License No. 0948 (MA). The NPI Number for NOTRE DAME HEALTH CARE CENTER,INC is 1396736930

Main info

Organization
Name
NOTRE DAME HEALTH CARE CENTER,INC
NPI
1396736930
Phone
(508) 852-3011
Address
559 PLANTATION ST
Authorized Official
MR. PHILIP HICKEY CEO & PRESIDENT
Enumeration Date
2 November 2005
Last Update Date
1 April 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for NOTRE DAME HEALTH CARE CENTER,INC

  • Notre Dame Du Lac Long Term Care Center, 559, Plantation Street, Worcester, Worcester County, Massachusetts, 01653, United States

    WORCESTER, MA 016052350

    Phone: (508) 852-3011

    Fax: (508) 852-0397

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-04-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20050425000637OSkilled Nursing FacilityMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01605)

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Reviews

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Frequently asked questions

What federal number belongs to NOTRE DAME HEALTH CARE CENTER,INC?
The federal identifier for NOTRE DAME HEALTH CARE CENTER,INC is NPI 1396736930.
Is NOTRE DAME HEALTH CARE CENTER,INC's NPI currently valid?
The extract we use shows NOTRE DAME HEALTH CARE CENTER,INC as active.
Can you summarize NOTRE DAME HEALTH CARE CENTER,INC's specialty in plain language?
Clinically, the directory lists NOTRE DAME HEALTH CARE CENTER,INC with Skilled Nursing Facility. Clinical services aligned with this taxonomy classification.
Where does public data place NOTRE DAME HEALTH CARE CENTER,INC?
The snapshot lists Worcester, Massachusetts for NOTRE DAME HEALTH CARE CENTER,INC; download NPPES for the complete set.
How can I contact NOTRE DAME HEALTH CARE CENTER,INC?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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