OVERLOOK VISITING NURSE ASSOCIATION INC. NPI 1033176144

NPI Information

NPI: 1033176144
Provider Name: OVERLOOK VISITING NURSE ASSOCIATION, INC.

Doing Business As: OVERLOOK HOSPICE SERVICES

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

Address:
88 MASONIC HOME RD
CHARLTON, MA
ZIP 01507
Phone: (508) 434-2200
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OVERLOOK VISITING NURSE ASSOCIATION, INC. is a hospice care community based in Charlton, MA. OVERLOOK VISITING NURSE ASSOCIATION, INC. NPI is 1033176144. The provider is registered as an organization entity type.
The provider Is Doing Business As Overlook Hospice Services.

The provider's business location address is:

88 MASONIC HOME RD
CHARLTON, MA
ZIP 01507-394
Phone: (508) 434-2200
Fax: (888) 978-9803

The provider's authorized official is Christopher Hart .
The authorized official title is Hospice Director Of Clinical Servic and has the following contact phone number (508) 434-2439.

The CLIA number assigned to this NPI record is 22D1050860 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/1/2006 and was last updated on 10/7/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		77AZ	MASSACHUSETTS	No
2	251G00000X	Hospice Care, Community Based			MASSACHUSETTS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0611794	MEDICAID	MASSACHUSETTS
2	0611794	OTHER	MASSACHUSETTS	LICENSE
3	120443	OTHER	MASSACHUSETTS	BLUECROSS BLUESHEILD
4	221565	MEDICARE OSCAR/CERTIFICATION	MASSACHUSETTS
5	110024506D	OTHER		MASS HEALTH
6	22D1050860	OTHER	MASSACHUSETTS	CLIA

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

NPI Synchronization or Removal

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