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JEREMIAH'S INN INC.
NPI 1679019731
Substance Abuse Rehabilitation Facility in Worcester, MA

Active since January 13, 2017CLIA 22D2218262 · Waiver
1059 MAIN ST, WORCESTER, MA 01603(508) 755-6403(508) 793-9568 Get Directions Write a Review

NPPES record last updated: January 13, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jeremiah's Inn Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREMIAH'S INN INC. (NPI 1679019731), doing business as Jeremiah's Hospice, is a healthcare organization registered as a substance abuse rehabilitation facility in Worcester, Massachusetts and active in the NPI registry since January 2017. The organization holds a CLIA Waiver certificate valid through March 25, 2027 and lists Melissa Ann Waddell, Communications Coordinator, as its authorized official.

NPPES Registry Identity

NPI1679019731
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameJEREMIAH'S INN INC.
Location Address1059 MAIN STWorcester, MA 01603-2421
Mailing Address1059 Main StWorcester, MA 01603-2421 · (508) 755-6403 · Fax (508) 793-9568
Phone(508) 755-6403
Fax(508) 793-9568
Organization SubpartNo
Authorized OfficialMelissa Ann WaddellCommunications Coordinator · (508) 755-6403
Enumeration DateJanuary 13, 2017
✔ NPI 1679019731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in MA · 0290
Definition

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.

1059 MAIN ST, Worcester, MA 01603
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Other Names 1

Former Legal Business NameJeremiah's Hospice

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D2218262

Jeremiah's Inn · Worcester, MA
Active · expires Mar 25, 2027
CLIA Number22D2218262
Laboratory TypeResidential Recovery
Certificate Effective DateMarch 26, 2025
Certificate Expiration DateMarch 25, 2027
Laboratory DirectorRichard Quinlan
Laboratory Phone(508) 755-6403
Laboratory LocationJeremiah's Inn1059 Worcester Street, Worcester, MA 01603
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremiah's Inn Inc.'s NPI number?

The NPI number for Jeremiah's Inn Inc. is 1679019731. It was assigned to this organization in the NPPES registry on January 13, 2017. The provider was formerly known as Jeremiah's Hospice.

Where is Jeremiah's Inn Inc. located?

Jeremiah's Inn Inc. is located at 1059 Main St, Worcester, MA 01603. The listed phone number is (508) 755-6403.

What is Jeremiah's Inn Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Jeremiah's Inn Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2218262) is associated with this NPI, valid through March 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jeremiah's Inn Inc. was last updated on January 13, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.