Organization Active NPI

Convenient Hospice Services Inc

  • Community Based Hospice Care Agency
  • Sudbury, MA
National Provider Identifier
1154893055
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CONVENIENT HOSPICE SERVICES INC
Practice address
329 Boston Post Rd Unit a
Sudbury, MA 01776-3061
Phone
(781) 720-9244
NPI assigned
Dec 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Juliet Zawedde
Title
Owner
Phone
(781) 642-0880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

329 Boston Post Rd Unit a
Sudbury, MA 01776-3061

Mailing address

689 Main St
Waltham, MA 02451-0609

Other practice location 1

689 Main St
Waltham, MA 02451-0609
Phone (781) 642-0880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190725000662 MA Part A Provider - Hospice 2365778511 Practice locations: Sudbury, MA

Hospice certification: CCN 221613

Legal name
CONVENIENT HOSPICE SERVICES INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 27, 2021
Last certification
Sep 27, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Nov 30, 2018 in MA
Enrollment address
329 Boston Post Rd
Unit a
Sudbury, MA 01776-3061

Care Compare: Hospice

Medicare Care Compare
Listed as
Convenient Hospice Services, IncCCN 221613
Ownership
For-Profit
Certified
Sep 27, 2021
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2200203Convenient Hospice Services Inc329 Boston Post Rd, Unit a, Sudbury, MA 01776Certificate of waiverNov 12, 2026

National Provider Directory

National Provider Directory

Locations

329 Boston Post Rd
#A
Sudbury, MA 01776
Phone (781) 642-0880

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ann Nansubuga Individual Corporate OfficerVice President/Secretary Nov 30, 2018
Juliet Zawedde Individual 5% Or Greater Direct Ownership Interest Nov 30, 2018 100%
Corporate OfficerPresident/Ceo Nov 30, 2018 100%
Corporate DirectorPresident/Ceo Nov 30, 2018 100%
W-2 Managing EmployeePresident/Ceo Nov 30, 2018 100%

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1154893055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 MAIN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024510609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 BOSTON POST RD UNIT A",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017763061",
            "telephone_number": "781-720-9244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "689 Main St",
            "address_purpose": "LOCATION",
            "city": "Waltham",
            "state": "MA",
            "postal_code": "024510609",
            "country_code": "US",
            "telephone_number": "781-642-0880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONVENIENT HOSPICE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-18",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "ZAWEDDE",
        "authorized_official_first_name": "JULIET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-642-0880"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sudbury, MA

Sources for this page

Verify at the official NPI Registry.