Odd Fellows Home Of Massachusetts, Inc

LBN: Odd Fellows Home Of Massachusetts, Inc
Odd Fellows Home Of Massachusetts, Inc is an health care organization with primary practice located at 104 Randolph Rd , Worcester MA 01606-2465. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Odd Fellows Home Of Massachusetts, Inc can be contacted via phone (508) 853-6687, or through Plant, Clarence via phone (508) 853-6687.

Contact Information

Primary practice address
104 Randolph Rd Worcester MA 01606-2465
Phone: (508) 853-6687
Fax: (508) 853-8103
Website:
Map and Directions
Authorized official contact:
Name: Plant, Clarence
Phone: (508) 853-6687

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0918 Massachusetts

Profile Details

NPI number 1780738914
LBN Legal business name Odd Fellows Home Of Massachusetts, Inc
DBA Doing business as
Authorized official Plant, Clarence
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2007
Last updated Dec 16th, 2015 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1780738914 NPPES
Massachusetts MEDICAID 0998818

Popular Providers