Odd Fellows Home Of Massachusetts, Inc in Worcester - Skilled Nursing Facility

Odd Fellows Home Of Massachusetts, Inc - NPI 1780738914

Odd Fellows Home Of Massachusetts, Inc is a Skilled Nursing Facility in Worcester, Massachusetts. Odd Fellows Home Of Massachusetts, Inc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Odd Fellows Home Of Massachusetts, Inc is 1780738914. The last update date is 2015-12-16.

Odd Fellows Home Of Massachusetts, Inc's current location address is 104 Randolph Road, Worcester, Massachusetts. You can contact this provider via phone number 5088536687 and fax number 5088538103. The mailing address for Odd Fellows Home Of Massachusetts, Inc is 104 Randolph Road, Worcester, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Organization Odd Fellows Home Of Massachusetts, Inc
Address 104 Randolph Road, Worcester, Massachusetts
Phone Number 5088536687
Fax Number 5088538103
Sole Proprietor --
Credentials --

Authorized Official

Title or Position SECRETARY
Authorized Official Name Plant Clarence
Telephone Number 5088536687

NPI Number Detail

NPI Number 1780738914
Provider Enumeration Date 2007-01-23
Last Updated Date 2015-12-16

Provider Mailing Address Detail

Address 104 Randolph Road
City Worcester
State Massachusetts (MA)
Post Code 1606
Phone Number 5088536687
Fax Number 5088538103

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No 918
Definition:
(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 serv

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
998818 MA --

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FAQs about Odd Fellows Home Of Massachusetts, Inc

What is the unique 10-digit identifier code issued to Odd Fellows Home Of Massachusetts, Inc by the Centers for Medicare & Medicaid Services?

The Odd Fellows Home Of Massachusetts, Inc has been assigned the NPI (National Provider Identifier) 1780738914 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Odd Fellows Home Of Massachusetts, Inc's facilities are situated?

The facilities of Odd Fellows Home Of Massachusetts, Inc are physically located at the following address: 104 Randolph Road, Worcester, MA, 1606.

What is Odd Fellows Home Of Massachusetts, Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Odd Fellows Home Of Massachusetts, Inc is Skilled Nursing Facility, and the taxonomy code that classifies this field of practice is 314000000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1780738914 to Odd Fellows Home Of Massachusetts, Inc?

The Odd Fellows Home Of Massachusetts, Inc received its 1780738914 assignment from the Centers for Medicare & Medicaid Services on 2007-01-23.

As of what date were the Odd Fellows Home Of Massachusetts, Inc's details last updated?

The information pertaining to the Odd Fellows Home Of Massachusetts, Inc, including its address, specialty, and other details, was most recently updated on 2015-12-16.

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