Dodge Park Rest Home Inc.

LBN: Dodge Park Rest Home Inc.
Dodge Park Rest Home Inc. is an health care organization with primary practice located at 101 Randolph Rd , Worcester MA 01606-2463. The organization recently has only one registered license in Ambulatory Health Care Facilities / Corporate Health, which is considered as the primary health care specialty. Dodge Park Rest Home Inc. can be contacted via phone (508) 853-8180, or through Penny, Anthony E. via phone (508) 853-8180.

Contact Information

Primary practice address
101 Randolph Rd Worcester MA 01606-2463
Phone: (508) 853-8180
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Penny, Anthony E.
Phone: (508) 853-8180

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Corporate Health 261QC1800X 87511 Massachusetts

Profile Details

NPI number 1154464584
LBN Legal business name Dodge Park Rest Home Inc.
DBA Doing business as
Authorized official Penny, Anthony E.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154464584 NPPES
Massachusetts Other 5500079 PROVIDER #

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