Oasis At Dodge Park, LLC
Custodial Care Facility in Worcester, Massachusetts
1225577653- Practice location
- 102 Randolph RD, Worcester, MA 01606-2465
- Phone
- 508-853-8180
- Fax
- —
- Last updated
- February 17, 2017
Oasis At Dodge Park, LLC is a healthcare organization based in Worcester, MA. Oasis At Dodge Park, LLC practices in Worcester, MA. The NPI Number for Oasis At Dodge Park, LLC is 1225577653 and holds a License No. 1Q1H (MA). The current practice location address for Oasis At Dodge Park, LLC is 102 Randolph RD, Worcester, MA 01606-2465 and can be reached out via phone at 508-853-8180.
Provider Profile Details
- NPI Number
- 1225577653
- Provider Name
- Oasis At Dodge Park, LLC
- Provider Entity Type
- Organization
- Address
- 102 Randolph RD, Worcester, MA 01606-2465
- Phone Number
- 508-853-8180
- Primary Taxonomy
- Custodial Care Facility · 311Z00000X
- Organization Subpart
- No
- Authorized Official
- Micha Shalev · Manager · 508-853-8180
- Other Names
- Oasis At Dodge Park (Doing Business As)
- Provider Enumeration Date
- February 17, 2017
- Last Update Date
- February 17, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 102 Randolph RD
Worcester, MA 01606-2465 - City
- Worcester
- State
- Massachusetts
- Zip
- 01606-2465
- Phone Number
- 508-853-8180
Provider Business Mailing Address Details
- Address
- 102 Randolph RD
Worcester, MA 01606-2465 - City
- Worcester
- State
- MA
- Zip
- 01606-2465
- Phone Number
- 508-853-8180
License Information
- License Number
- 1Q1H
- License State
- MA
- Taxonomy
- Custodial Care Facility · 311Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Oasis At Dodge Park, LLC?
The NPI number of Oasis At Dodge Park, LLC is 1225577653. It was assigned on February 17, 2017 and is currently active in the NPPES registry.
What is the specialty of Oasis At Dodge Park, LLC?
Oasis At Dodge Park, LLC is registered under the primary taxonomy Custodial Care Facility (code 311Z00000X), licensed in MA under license number 1Q1H.
Where does Oasis At Dodge Park, LLC practice?
The practice location is 102 Randolph RD, Worcester, MA 01606-2465. 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 1225577653 directly on the NPPES registry website.