VISTACARE OF BOSTON LLC NPI 1639450513

NPI Information

VISTACARE OF BOSTON, LLC is a hospice care community based in Fall River, MA. VISTACARE OF BOSTON, LLC NPI is 1639450513. The provider is registered as an organization entity type.
The provider Is Doing Business As Gentiva.

The provider's business location address is:

275 MARTINE ST STE 202
FALL RIVER, MA
ZIP 02723-516
Phone: (508) 672-0580
Fax: (508) 672-0581

The provider's authorized official is Janet Combs .
The authorized official title is Vp Of Licensure and has the following contact phone number (704) 662-1761.

The CLIA number assigned to this NPI record is 22D2246112 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/6/2011 and was last updated on 1/3/2023.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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