VISTACARE OF BOSTON LLC NPI 1255388732

NPI Information

NPI: 1255388732
Provider Name: VISTACARE OF BOSTON LLC

Doing Business As: KINDRED HOSPICE

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

Address:
406 HEMENWAY ST
MARLBOROUGH, MA
ZIP 01752
Phone: (508) 229-0912
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VISTACARE OF BOSTON LLC is a hospice care community based in Marlborough, MA. VISTACARE OF BOSTON LLC NPI is 1255388732. The provider is registered as an organization entity type.
The provider Is Doing Business As Kindred Hospice.

The provider's business location address is:

406 HEMENWAY ST
MARLBOROUGH, MA
ZIP 01752-751
Phone: (508) 229-0912
Fax: (855) 276-4473

The provider's authorized official is Jessica Kleberg .
The authorized official title is Svp Of Legal And Compliance and has the following contact phone number (704) 664-2876.

The CLIA number assigned to this NPI record is 15D2163497 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/28/2006 and was last updated on 2/21/2019.

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				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	110079500A	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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