JEREMIAH'S INN INC. – NPI #1679019731
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

JEREMIAH'S INN INC. is a substance abuse rehabilitation facility located in WORCESTER, MA. NPPES has assigned the NPI number 1679019731 to JEREMIAH'S INN INC. on January 13, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is JEREMIAH'S HOSPICE. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JEREMIAH'S INN INC. below.

NPI Profile for
JEREMIAH'S INN INC.

NPI Number
1679019731
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JEREMIAH'S INN INC.
Former Legal Business Name: JEREMIAH'S HOSPICE
Primary location
1059 MAIN ST
WORCESTER, MA 01603-2421
Phone: (508) 755-6403 Fax: (508) 793-9568
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MELISSA WADDELL
COMMUNICATIONS COORDINATOR
Phone: (508) 755-6403
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)		 MA 0290

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.