HOSPICE OF THE GOOD SHEPHERD, INC.; NPI #1053311514

Contact Information

HOSPICE OF THE GOOD SHEPHERD, INC.

160 WELLS AVE
NEWTON, MA 02459-3302

Phone: 617-969-6130
Fax: 617-928-1450
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Hospice Care, Community Based	251G00000X	B4[14]	Hospice
Hospice and Palliative Medicine	207RH0002X	11	Physician/Internal Medicine
Nurse Practitioner	363L00000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for HOSPICE OF THE GOOD SHEPHERD, INC.

NPI # 1053311514

LBN Legal business name HOSPICE OF THE GOOD SHEPHERD, INC.

Authorized official TIMOTHY BOON - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/27/2005

Last updated 11/30/2020 - About 6 years ago

Identifiers

MA	License #	7205
MA	Medicaid	110024344A
MA	Medicaid	110024344B

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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HOSPICE OF THE GOOD SHEPHERD, INC.

Contact Information

Specialty

Hospice Care, Community Based

Hospice and Palliative Medicine

Nurse Practitioner

NPI Profile & details for HOSPICE OF THE GOOD SHEPHERD, INC.

Reviews for HOSPICE OF THE GOOD SHEPHERD, INC.