Provider Type Icon

BANE HANCOCK PARK LLC NPI 1306293642


NPI Information

NPI: 1306293642
Provider Name: BANE HANCOCK PARK, LLC

Doing Business As: HANCOCK PARK ASSISTED LIVING

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 22D2109722

Address:
164 PARKINGWAY
QUINCY, MA
ZIP 02169
Phone: (617) 773-4222
Get Directions

BANE HANCOCK PARK, LLC is an assisted living facility in Quincy, MA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. BANE HANCOCK PARK, LLC NPI is 1306293642. The provider is registered as an organization entity type.
The provider Is Doing Business As Hancock Park Assisted Living.

The provider's business location address is:

164 PARKINGWAY
QUINCY, MA
ZIP 02169-020
Phone: (617) 773-4222
Fax: (617) 773-1115

The provider's authorized official is Harrison Bane .
The authorized official title is Vice President Of Operations and has the following contact phone number (781) 878-6700.

The CLIA number assigned to this NPI record is 22D2109722 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2016 and was last updated on 5/17/2016.


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
1310400000XAssisted Living FacilityYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.