Cranberry Hospice

LBN: Beth Israel Deaconess Hospital Plymouth, Inc.
Cranberry Hospice is an health care organization with primary practice located at 36 Cordage Park Cir Suite 326, Plymouth MA 02360-7331. The organization recently has only one registered license in Agencies / Hospice Care, Community Based, which is considered as the primary health care specialty. Beth Israel Deaconess Hospital Plymouth, Inc. can be contacted via phone (508) 746-0215, or through Radzevich, Jason M via phone (508) 830-2005.

Contact Information

Primary practice address
36 Cordage Park Cir Suite 326 Plymouth MA 02360-7331
Fax: (508) 830-3336
Website:
Authorized official contact:
Name: Radzevich, Jason M

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X 7221 Massachusetts

Profile Details

NPI number 1164535084
LBN Legal business name Beth Israel Deaconess Hospital Plymouth, Inc.
DBA Doing business as Cranberry Hospice
Authorized official Radzevich, Jason M
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2006
Last updated Mar 23rd, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164535084 NPPES
Massachusetts MEDICAID 0608556
Massachusetts Other 221520
Massachusetts Other S012236
Massachusetts Other 000000020545
Massachusetts Other 819809
Massachusetts Other 221520B
Massachusetts Other AA50951

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