Organization Active NPI

Chelsea Jewish Community, Inc.

  • Community Based Hospice Care Agency
  • Chelsea, MA
National Provider Identifier
1316133325
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
7RKJ Issued in MA
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

Updated by the provider on Sep 29, 2023

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)CodeLicenseStatePrimary
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 Doing business as

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 Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jan 1, 2017 Change of OwnershipThis provider was the seller Legacy Lifecare Hospice and Palliative CareCCN 221584, MA, NPI 1770034944

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

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

Verify at the official NPI Registry.