SUMMIT ELDERCARESM
NPI 1376696674
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Worcester, MA
NPI Status: Active since January 19, 2007
Contact Information
277 E MOUNTAIN ST
WORCESTER, MA
ZIP 01606
Phone: (508) 852-2026
Fax: (508) 856-7130
- Organization
- Program of All-Inclusive Care for the El...
About SUMMIT ELDERCARESM
This page provides the complete NPI Profile along with additional information for Summit Eldercaresm, a provider established in Worcester, Massachusetts operating as a Program Of All-inclusive Care For The Elderly (pace) Provider Organization. The healthcare provider is registered in the NPI registry with number 1376696674 assigned on January 2007. The practitioner's primary taxonomy code is 251T00000X with license number 1803247 (MA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's other name is Summit Eldercaresm. The authorized official of this NPI record is Mr. Charles Goheen (Chief Financial Officer)
- NPI
- 1376696674
- Provider Legal Name
- FALLON COMMUNITY HEALTH PLAN
- Other Organization Name
- SUMMIT ELDERCARESM
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 277 E MOUNTAIN ST WORCESTER, MA 01606
- Location Phone
- (508) 852-2026
- Location Fax
- (508) 856-7130
- Mailing Address
- 10 CHESTNUT ST WORCESTER, MA 01608
- Mailing Phone
- (508) 368-9437
- Mailing Fax
- (508) 856-7130
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-19-2007
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
- Taxonomy Code
- 251T00000X
- Type
- Agencies
- License No.
- 1803247
- License State
- MA
- Taxonomy Description
- A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1803247 | MEDICAID (05) | MA |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1376696674, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376696674, enumerated as an "organization" on January 19, 2007.
The provider is located at 277 E MOUNTAIN ST WORCESTER, MA 01606 and the phone number is (508) 852-2026.
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
