Dodge Park Rest Home INC.
Clinic/Center, Corporate Health in Worcester, Massachusetts
1154464584- Practice location
- 101 Randolph RD, Worcester, MA 01606-2463
- Phone
- 508-853-8180
- Fax
- —
- Last updated
- August 22, 2020
Dodge Park Rest Home INC. is a healthcare organization based in Worcester, MA. Dodge Park Rest Home INC. practices in Worcester, MA. The NPI Number for Dodge Park Rest Home INC. is 1154464584 and holds a License No. 87511 (MA). The current practice location address for Dodge Park Rest Home INC. is 101 Randolph RD, Worcester, MA 01606-2463 and can be reached out via phone at 508-853-8180.
Provider Profile Details
- NPI Number
- 1154464584
- Provider Name
- Dodge Park Rest Home INC.
- Provider Entity Type
- Organization
- Address
- 101 Randolph RD, Worcester, MA 01606-2463
- Phone Number
- 508-853-8180
- Primary Taxonomy
- Clinic/Center, Corporate Health · 261QC1800X
- Organization Subpart
- No
- Authorized Official
- Anthony E. Penny · Administrator · 508-853-8180
- Provider Enumeration Date
- February 15, 2007
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 101 Randolph RD
Worcester, MA 01606-2463 - City
- Worcester
- State
- Massachusetts
- Zip
- 01606-2463
- Phone Number
- 508-853-8180
Provider Business Mailing Address Details
- Address
- 101 Randolph RD
Worcester, MA 01606-2463 - City
- Worcester
- State
- MA
- Zip
- 01606-2463
License Information
- License Number
- 87511
- License State
- MA
- Taxonomy
- Clinic/Center, Corporate Health · 261QC1800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Corporate Health providers near Worcester, MA
View all Clinic/Center, Corporate Health providers in Worcester →- Donna Dulmaine-Mcavey, LDOTechnician/Technologist, Optician · NPI 1609776939
- Sarah PalmerCounselor, Addiction (Substance Use Disorder) · NPI 1316847544
- Anthony GikiriLicensed Practical Nurse · NPI 1588564132
- Edina C AlexandreCounselor · NPI 1295635738
- Jesse BraithCounselor, Mental Health · NPI 1801796388
- Coby Eure, MDPsychologist · NPI 1427944883
Frequently Asked Questions
What is the NPI number of Dodge Park Rest Home INC.?
The NPI number of Dodge Park Rest Home INC. is 1154464584. It was assigned on February 15, 2007 and is currently active in the NPPES registry.
What is the specialty of Dodge Park Rest Home INC.?
Dodge Park Rest Home INC. is registered under the primary taxonomy Clinic/Center, Corporate Health (code 261QC1800X), licensed in MA under license number 87511.
Where does Dodge Park Rest Home INC. practice?
The practice location is 101 Randolph RD, Worcester, MA 01606-2463. The office can be reached at 508-853-8180 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154464584 directly on the NPPES registry website.