OLD COLONY HOSPICE INC NPI 1144330002

NPI Information

NPI: 1144330002
Provider Name: OLD COLONY HOSPICE INC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
321 MANLEY ST
W BRIDGEWATER, MA
ZIP 02379
Phone: (781) 341-4145
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OLD COLONY HOSPICE INC is a family nurse practitioner in W Bridgewater, MA. OLD COLONY HOSPICE INC NPI is 1144330002. The provider is registered as an organization entity type.

The provider's business location address is:

321 MANLEY ST
W BRIDGEWATER, MA
ZIP 02379-022
Phone: (781) 341-4145
Fax: (781) 297-7345

The provider's authorized official is Toni Eaton .
The authorized official title is Ceo and has the following contact phone number (781) 341-4145.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 3/31/2023.

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		7214	MASSACHUSETTS	No
2	363LF0000X	Nurse Practitioner	Family	7214	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	0018209	OTHER		NEIGHBORHOOD HEALTH PLAN
2	46302	OTHER		AETNA
3	901570	OTHER		TUFTS
4	700346	OTHER		HOWARD PILGRIM
5	221514	OTHER		BLUE CROSS BLUE SHIELD
6	0604593	MEDICAID	MASSACHUSETTS

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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