Oasis at Dodge Park, LLC

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

1Q1H Issued in MA

Legal business name

OASIS AT DODGE PARK, LLC

Practice address

102 Randolph Rd
Worcester, MA 01606-2465

Phone

(508) 853-8180

NPI assigned

Feb 17, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Micha Shalev

Title

Manager

Phone

(508) 853-8180

Specialties & licenses 1

Addresses

Other names 1

• Oasis at Dodge Park Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487289600000",
    "number": "1225577653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 RANDOLPH RD",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062465",
            "telephone_number": "508-853-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 RANDOLPH RD",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062465",
            "telephone_number": "508-853-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS AT DODGE PARK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-17",
        "last_updated": "2017-02-17",
        "status": "A",
        "authorized_official_last_name": "SHALEV",
        "authorized_official_first_name": "MICHA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "508-853-8180"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "MA",
            "license": "1Q1H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oasis at Dodge Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael A O'Shea, M.D.
• Sheila E O'Shea, PA
• Sorcha O'Sullivan-Murphy, NP
• Laura O'Tell, M.A.
• Robyn M O'Toole, LICSW
• Oasis Home Care, LLC
• Oasis of Joy
• Lina M Obando, LMHC
• Katrina Julianna Obarski, PTA
• Onyekachi Godson Obeke

• Custodial Care Facility in Worcester, MA
• Providers in Worcester, MA by specialty
• Custodial Care Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.