HOSPICE OF THE GOOD SHEPHERD INC. NPI 1053311514

NPI Information

  • NPI: 1053311514
  • Provider Name: HOSPICE OF THE GOOD SHEPHERD, INC.
  • Classification: Hospice Care, Community Based - 251G00000X
  • Entity Type: Organization
  • CLIA Number: 22D1080991
  • Address: 160 WELLS AVE
    NEWTON, MA
    ZIP 02459
  • Phone: (617) 969-6130

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NPI Details

HOSPICE OF THE GOOD SHEPHERD, INC. is a hospice care community based in Newton, MA. HOSPICE OF THE GOOD SHEPHERD, INC. NPI is 1053311514. The provider is registered as an organization entity type.

The provider's business location address is:

160 WELLS AVE
NEWTON, MA
ZIP 02459-302
Phone: (617) 969-6130
Fax: (617) 928-1450

The provider's authorized official is Timothy Boon .
The authorized official title is Executive Director and has the following contact phone number (617) 969-6130.

The CLIA number assigned to this NPI record is 22D1080991 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/27/2005 and was last updated on 11/30/2020.

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
1251G00000XHospice Care, Community Based7205MASSACHUSETTSYes
2363L00000XNurse PractitionerNo
3207RH0002XInternal MedicineHospice and Palliative MedicineNo

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
1110024344AMEDICAIDMASSACHUSETTS
2110024344BMEDICAIDMASSACHUSETTS

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: 3/30/2025

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