1972567824 NPI number — PARTNERS HOSPICE, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972567824 NPI number — PARTNERS HOSPICE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PARTNERS HOSPICE, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
PARTNERS HEALTHCARE AT HOME - HOSPICE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1972567824
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/30/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
281 WINTER ST
Provider Second Line Business Mailing Address:
SUITE 200
Provider Business Mailing Address City Name:
WALTHAM
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02451-8740
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
781-290-4000
Provider Business Mailing Address Fax Number:
781-290-4050

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
281 WINTER ST
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
WALTHAM
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02451-8740
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
781-290-4000
Provider Business Practice Location Address Fax Number:
781-290-4050
Provider Enumeration Date:
04/15/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SHAUGHNESSY
Authorized Official First Name:
MARY
Authorized Official Middle Name:
E.
Authorized Official Title or Position:
CFO, PARTNERS CONTINUING CARE
Authorized Official Telephone Number:
617-724-2516

Provider Taxonomy Codes

  • Taxonomy code: 251G00000X , with the licence number:  7206 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 800881 . This is a "TUFTS HEALTH PLAN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 0008079 . This is a "NEIGHBORHHOOD HEALTH PLAN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 0608483 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 221505 . This is a "BCBS OF MA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 5798183 . This is a "AETNA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: AA73324 . This is a "HARVARD PILGRIM HEALTHCAR" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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