OASIS AT DODGE PARK, LLC (NPI# 1225577653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225577653 |
| Entity Type | Organization |
| Organization Name | OASIS AT DODGE PARK, LLC |
| Other Organization Name | OASIS AT DODGE PARK |
| Practice Address |
102 Randolph Rd Worcester MA 01606-2465 |
| Practice Telephone | 5088538180 |
| Mailing Telephone | 5088538180 |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-02-17 |
| Authorized Official Name | MICHA SHALEV (MANAGER) |
| Authorized Official Telephone | 5088538180 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | 1Q1H | MA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Oasis at Dodge Park | Doing Business As Name - Organization |
| Street Address |
102 RANDOLPH RD |
| City | WORCESTER |
| State | MA |
| Zip Code | 01606-2465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548742612 | Aishea Irine Henry | Counselor | 29 E. Mountian St., Worccester, MA 01606 | 2018-09-05 |
| 1932689874 | Donna Kesler Pearce | Social Worker | Department of Children and Families, 151 West Boylston Drive, Worcester, MA 01606 | 2018-08-20 |
| 1689169914 | Ashley Kalel | Social Worker | 151 W Boylston Dr, Worcester, MA 01606 | 2018-06-28 |
| 1588189039 | Michael Joseph Peters Sr. | Counselor | 56 Malden St, Worcester, MA 01606 | 2017-08-06 |
| 1811418528 | Shan Rai | Social Worker | 29 East Mountain Street, Worcester, MA 01606 | 2017-07-03 |
| 1639608045 | Kim Marie Ceccarini | Case Manager/Care Coordinator | 11 Delaval Rd, Worcester, MA 01606 | 2017-06-08 |
| 1669806139 | Lauren Giuliano | Counselor | 392 Burncoat St, Worcester, MA 01606 | 2013-09-02 |
| 1508132911 | Joshua D Zierler-broudo | Social Worker | 29 East Mountain St, Worcester, MA 01606 | 2012-03-29 |
| 1609096098 | Alternatives Unlimited Inc | Day Training, Developmentally Disabled Services | 367 Burncoat Street, Worcester, MA 01606 | 2007-04-26 |
| 1407908213 | Class One Orthodontic Asso LLC | Dentist | 365 Burncoat St, Worcester, MA 01606 | 2007-01-18 |
| Find all providers in zip 01606 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912203217 | Goddard/homestead | Custodial Care Facility | 10 Homestead Avenue, Worcester, MA 01610 | 2011-02-03 |
| 1538156104 | Lange Rest Homes | Custodial Care Facility | 24 Chester St, Worcester, MA 01605-3121 | 2005-09-29 |
| 1093702664 | Lange Rest Homes | Custodial Care Facility | 572 Burncoat St, Worcester, MA 01605 | 2005-09-29 |
| 1285621854 | Lange Rest Homes | Custodial Care Facility | 453 Cambridge St, Worcester, MA 01610-2601 | 2005-09-29 |
| 1982849584 | Elita 7, LLC | Custodial Care Facility | 16 Marble St, Worcester, MA 01603 | 2008-12-10 |
| 1245475847 | Worcester Light, LLC | Custodial Care Facility | 1398 Main St, Worcester, MA 01603 | 2008-12-10 |
| 1639342843 | Willows At Worcester LLC | Custodial Care Facility | 101 Barry Rd, Worcester, MA 01609-1154 | 2008-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023588043 | Caregiver Homes of South Dakota Inc | Custodial Care Facility | 120 Saint James Ave Fl 4, Boston, MA 02116-5001 | 2018-12-03 |
| 1295169977 | Boston Nutrition Care | Custodial Care Facility | 51 Neponset Ave, Dorchester, MA 02122-3321 | 2013-08-29 |
| 1871817569 | Horn Home for Aged | Custodial Care Facility | 98 Smith St, Lowell, MA 01851-2614 | 2010-03-24 |
| 1114166188 | Oosterman Rest Home Inc. | Custodial Care Facility | 93 Laurel St, Melrose, MA 02176-4044 | 2009-02-13 |
| 1124267299 | Oosterman's Melrose Rest Home Inc. | Custodial Care Facility | 101 Laurel St, Melrose, MA 02176-4044 | 2009-02-13 |
| 1265608236 | Sophia Snow House, Inc. | Custodial Care Facility | 1215 Centre St, West Roxbury, MA 02132-7701 | 2008-04-30 |
| 1851579031 | Ez Home Care | Custodial Care Facility | 85 Alexander St, Dorchester, MA 02125-2727 | 2008-02-09 |
| 1891989000 | Davenport Memorial Foundation | Custodial Care Facility | 70 Salem St, Malden, MA 02148-5208 | 2007-08-30 |
| 1588783005 | Brookhaven Rest Home | Custodial Care Facility | W Main Street, W. Brookfield, MA 01585 | 2007-03-28 |
| 1376661835 | Maple Hill Rest Home Inc | Custodial Care Facility | 156 Mill St, Springfield, MA 01108-1022 | 2007-03-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.