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LIFE CARE AT HOME OF MASSACHUSETTS INC NPI 1225030315


NPI Information

NPI: 1225030315
Provider Name: LIFE CARE AT HOME OF MASSACHUSETTS INC

Doing Business As: AFFINITY HOSPICE OF LIFE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
397 GROVE ST
WORCESTER, MA
ZIP 01605
Phone: (508) 752-0827
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LIFE CARE AT HOME OF MASSACHUSETTS INC is a hospice care community based in Worcester, MA. LIFE CARE AT HOME OF MASSACHUSETTS INC NPI is 1225030315. The provider is registered as an organization entity type.
The provider Is Doing Business As Affinity Hospice Of Life.

The provider's business location address is:

397 GROVE ST
WORCESTER, MA
ZIP 01605-223
Phone: (508) 752-0827
Fax: (508) 755-3252

The provider's authorized official is Stephanie Johnson .
The authorized official title is Senior Director Of Finance and has the following contact phone number (423) 473-5257.

The enumeration date for this NPI number is 6/2/2005 and was last updated on 11/21/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community Based7A4ZMASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AA13041OTHERMASSACHUSETTSHARVARD PILGRIM
2110024496BMEDICAIDMASSACHUSETTS
3221557MEDICARE OSCAR/CERTIFICATIONMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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