Odd Fellows Home of Massachusetts, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0918 Issued in MA

Legal business name

ODD FELLOWS HOME OF MASSACHUSETTS, INC

Practice address

104 Randolph Rd
Worcester, MA 01606-2465

Phone

(508) 853-6687

Fax

(508) 853-8103

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Clarence Plant

Title

Secretary Board of Trustees

Phone

(508) 853-6687

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Skilled nursing facility certification: CCN 225439

Legal name

ODD FELLOWS HOME OF MASSACHUSETTS, INC.

Doing business as

ODD FELLOWS HOME OF MASSACHUSETTS, INC.

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 1, 1990

Last certification

Dec 10, 2024

Beds

100

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Enrollment address

104 Randolph Rd
Worcester, MA 01606-2465

Nursing home name

ODD FELLOWS HOME OF MASSACHUSETTS

Listed as

Odd Fellows Home of MassachusettsCCN 225439 · All quality measures

Overall star rating

2 of 5

Health inspections

3 of 5

Staffing

4 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jul 1, 1990

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10090.5 residents per day on average

Penalties (3 years)

2Fines totaling $106,301

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Bogdan Nedelescu, M.D.

  • Internal Medicine Physician
  • Worcester, MA
  • NPI 1699732800

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenya Hanspard, MD

  • Hospitalist Physician
  • Burlington, MA
  • NPI 1932170305
  NPD (past)
• Bogdan Nedelescu, M.D.

  • Internal Medicine Physician
  • Worcester, MA
  • NPI 1699732800
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Kenya Hanspard, MD

  • Hospitalist Physician
  • Burlington, MA
  • NPI 1932170305

  Nursing home

  Care Compare affiliation
• Bogdan Nedelescu, M.D.

  • Internal Medicine Physician
  • Worcester, MA
  • NPI 1699732800

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1780738914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 RANDOLPH ROAD",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01606",
            "telephone_number": "508-853-6687",
            "fax_number": "508-853-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 RANDOLPH RD",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062465",
            "telephone_number": "508-853-6687",
            "fax_number": "508-853-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODD FELLOWS HOME OF MASSACHUSETTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "PLANT",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_title_or_position": "SECRETARY BOARD OF TRUSTEES",
        "authorized_official_telephone_number": "508-853-6687"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0998818",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Oconnell
• Kevin Oconner, PH.D.
• Denise Oconnor
• Jennifer Oconnor
• Mariel Olivia Oconnor, MD
• Eric Martin Oddleifson
• Rafy Souheil Odeh, MD
• Faustina Odoi, RN
• Donna Oduro
• Evan Samuel Offord, MD

• Skilled Nursing Facility in Worcester, MA
• Providers in Worcester, MA by specialty
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.