Active NPI
Chelsea Jewish Community, Inc.
- Community Based Hospice Care Agency
- Chelsea, MA
National Provider Identifier
1316133325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 7RKJ
- Legal business name
- CHELSEA JEWISH COMMUNITY, INC.
- Doing business as
- Legacy Lifecare Hospice and Palliative Care
- Practice address
- 123 Captains Row
Chelsea, MA 02150-4019 - Phone
- (617) 889-0779
- Fax
- (617) 889-1779
- NPI assigned
- Sep 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adam Berman
- Title
- President & Ceo
- Phone
- (617) 887-0001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 7RKJ | MA | Primary |
Addresses
Primary practice location
123 Captains Row
Chelsea, MA 02150-4019
Mailing address
165 Captains Row
Chelsea, MA 02150-4019
Phone (617) 887-0001
Other names 1
- Legacy Lifecare Hospice and Palliative Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Tax ID family
- Chelsea Jewish Community Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Chelsea, MA
- NPI 1528519980
-
- Community Based Hospice Care Agency
- Chelsea, MA
- NPI 1770034944
-
- In Home Supportive Care Agency
- Chelsea, MA
- NPI 1952846123
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Jan 1, 2017 | Change of Ownership | Legacy Lifecare Hospice and Palliative Care |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
- Community Based Hospice Care Agency
- Chelsea, MA
- NPI 1770034944
Sold to, 2017-01-01
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190592000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695945600000",
"number": "1316133325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 CAPTAINS ROW",
"city": "CHELSEA",
"state": "MA",
"postal_code": "021504019",
"telephone_number": "617-887-0001",
"fax_number": "617-889-6176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 CAPTAINS ROW",
"city": "CHELSEA",
"state": "MA",
"postal_code": "021504019",
"telephone_number": "617-889-0779",
"fax_number": "617-889-1779"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHELSEA JEWISH COMMUNITY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-24",
"last_updated": "2023-09-29",
"certification_date": "2023-09-29",
"status": "A",
"authorized_official_last_name": "BERMAN",
"authorized_official_first_name": "ADAM",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "617-887-0001"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "MA",
"license": "7RKJ",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Legacy Lifecare Hospice and Palliative Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chelsea, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.