1972567824 NPI number — PARTNERS HOSPICE, INC.

Table of content: (NPI 1972567824)

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:
Provider Other Organization Name Type Code:
6
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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