Hospice Of The Good Shepherd, Inc.

LBN: Hospice Of The Good Shepherd, Inc.
Hospice Of The Good Shepherd, Inc. is an health care organization with primary practice located at 160 Wells Ave , Newton MA 02459-3302. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Agencies / Hospice Care, Community Based, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Agencies / Hospice Care, Community Based is the primary health care specialty. Hospice Of The Good Shepherd, Inc. can be contacted via phone (617) 969-6130, or through Boon, Timothy via phone (617) 969-6130.

Contact Information

Primary practice address
160 Wells Ave Newton MA 02459-3302
Phone: (617) 969-6130
Fax: (617) 928-1450
Website:
Map and Directions
Authorized official contact:
Name: Boon, Timothy
Phone: (617) 969-6130

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X
Agencies / Hospice Care, Community Based 251G00000X 7205 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1053311514
LBN Legal business name Hospice Of The Good Shepherd, Inc.
DBA Doing business as
Authorized official Boon, Timothy
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2005
Last updated Nov 30th, 2020 - about 5 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 1053311514 NPPES
Massachusetts MEDICAID 110024344A
Massachusetts MEDICAID 110024344B

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