ODD FELLOWS HOME OF MASSACHUSETTS, INC (NPI# 1780738914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780738914 |
| Entity Type | Organization |
| Organization Name | ODD FELLOWS HOME OF MASSACHUSETTS, INC |
| Practice Address |
104 Randolph Rd Worcester MA 01606-2465 |
| Mailing Address |
104 Randolph Road Worcester MA 01606 |
| Practice Telephone | 5088536687 |
| Practice Fax Number | 5088538103 |
| Mailing Telephone | 5088536687 |
| Mailing Fax Number | 5088538103 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2015-12-16 |
| Authorized Official Name | CLARENCE PLANT (SECRETARY BOARD OF TRUSTEES) |
| Authorized Official Telephone | 5088536687 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0918 | MA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0998818 | 05 |
| Street Address |
104 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 | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366591919 | Salem Community Corporation | Skilled Nursing Facility | 87 Briarwood Cir, Worcester, MA 01606-1225 | 2007-01-10 |
| 1366500498 | Chs of Worcester, Inc | Skilled Nursing Facility | 39 Queen St, Worcester, MA 01610-2433 | 2006-12-04 |
| 1043262926 | Ggnsc Worcester LLC | Skilled Nursing Facility | 383 Mill St, Worcester, MA 01602-2414 | 2006-05-17 |
| 1013984871 | West Side Corporation | Skilled Nursing Facility | 35 Fruit St, Worcester, MA 01609-2198 | 2006-03-01 |
| 1669447959 | Houghton Corporation | Skilled Nursing Facility | 116 Houghton Street, Worcester, MA 01604-3997 | 2006-02-21 |
| 1396736930 | Notre Dame Health Care Center,inc | Skilled Nursing Facility | 559 Plantation St, Worcester, MA 01605-2350 | 2005-11-02 |
| 1467443374 | Saint Francis Home | Skilled Nursing Facility | 101 Plantation St, Worcester, MA 01604-3025 | 2005-10-31 |
| 1598755027 | Jewish Healthcare Center, Inc | Skilled Nursing Facility | 629 Salisbury St, Worcester, MA 01609-1120 | 2005-10-26 |
| 1437146503 | Worcester Ma Snf LLC | Skilled Nursing Facility | 119 Providence Street, Worcester, MA 01604 | 2005-10-04 |
| 1881689644 | University Commons Nursing Care Center Partn | Skilled Nursing Facility | 378 Plantation Street, Worcester, MA 01604 | 2005-09-16 |
| Find all providers in WORCESTER | ||||
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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.