BROOKHAVEN HOSPICE LLC NPI 1730361742

NPI Information

NPI: 1730361742
Provider Name: BROOKHAVEN HOSPICE LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 22D1081225

Address:
114 TURNPIKE RD STE 206
WESTBOROUGH, MA
ZIP 01581
Phone: (508) 820-4800
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BROOKHAVEN HOSPICE LLC is a hospice care community based in Westborough, MA. BROOKHAVEN HOSPICE LLC NPI is 1730361742. The provider is registered as an organization entity type.

The provider's business location address is:

114 TURNPIKE RD STE 206
WESTBOROUGH, MA
ZIP 01581-800
Phone: (508) 820-4800

The provider's authorized official is John Hunter .
The authorized official title is President & Ceo and has the following contact phone number (434) 977-9711.

The CLIA number assigned to this NPI record is 22D1081225 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/30/2007 and was last updated on 7/21/2022.

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		7DVJ	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	110080796A	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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