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SUDBURY PINES EXTENDED CARE FACILITY NPI 1265551733


NPI Information

NPI: 1265551733
Provider Name: SUDBURY PINES EXTENDED CARE FACILITY

Doing Business As: SUDBURY PINES HOSPICE

Classification: Hospice, Inpatient - 315D00000X
Entity Type: Organization
Address:
642 BOSTON POST RD
SUDBURY, MA
ZIP 01776
Phone: (978) 443-9000
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SUDBURY PINES EXTENDED CARE FACILITY is a hospice inpatient in Sudbury, MA. The provider is a provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient. SUDBURY PINES EXTENDED CARE FACILITY NPI is 1265551733. The provider is registered as an organization entity type.
The provider Is Doing Business As Sudbury Pines Hospice.

The provider's business location address is:

642 BOSTON POST RD
SUDBURY, MA
ZIP 01776-302
Phone: (978) 443-9000
Fax: (978) 443-9510

The provider's authorized official is Roberta C Henderson .
The authorized official title is President, Administrator and has the following contact phone number (978) 443-9000.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 2/3/2016.


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
1315D00000XHospice, Inpatient7IQUMASSACHUSETTSYes

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
10611000MEDICAIDMASSACHUSETTS
2221553MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS

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: 11/14/2023

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