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: 5 MOUNT ROYAL AVE STE 5-040
    MARLBOROUGH, MA
    ZIP 01752
  • Phone: (508) 820-4800

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NPI Details

BROOKHAVEN HOSPICE LLC is a hospice care community based in Marlborough, MA. BROOKHAVEN HOSPICE LLC NPI is 1730361742. The provider is registered as an organization entity type.

The provider's business location address is:

5 MOUNT ROYAL AVE STE 5-040
MARLBOROUGH, MA
ZIP 01752-981
Phone: (508) 820-4800

The provider's authorized official is Jesse R Moore .
The authorized official title is Chief Administrative Officer and has the following contact phone number (857) 331-6271.

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 5/12/2025.

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
1251G00000XHospice Care, Community BasedYes

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: 11/21/2025

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