Dodge Park Rest Home INC.
Clinic/Center, Corporate Health in Worcester, MA. Organization (NPI-2).
NPI number1154464584
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1154464584
- Entity type
- Organization (NPI-2)
- Legal business name
- Dodge Park Rest Home INC.
- Organization subpart
- No
- Enumeration date
- Feb 15, 2007
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QC1800X | Clinic/Center, Corporate Health | 87511 | MA | Yes |
Practice location
101 Randolph RdWorcester, MA 01606-2463
Phone 508-853-8180
Mailing address
101 Randolph RdWorcester, MA 01606-2463
Authorized official
Anthony E. Penny
Administrator
5088538180
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.