Organization Active NPI

Alliance Hospice Care LLC

  • Hospice and Palliative Medicine (Emergency Medicine) Physician
  • Newton, MA
National Provider Identifier
1316359185
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Emergency Medicine) PhysicianTaxonomy code 207PH0002X
Legal business name
ALLIANCE HOSPICE CARE LLC
Practice address
1340 Centre St Ste 208
Newton, MA 02459-2453
Phone
(617) 663-4881
Fax
(888) 580-6161
NPI assigned
May 28, 2014
Last updated
May 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Authorized official

Name
Irina Goldsher
Title
Managing Director
Phone
(617) 340-8595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Emergency Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207PH0002X Primary

Addresses

Primary practice location

1340 Centre St Ste 208
Newton, MA 02459-2453

Mailing address

1340 Centre St Ste 208
Newton, MA 02459-2453
Phone (617) 663-4881

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140911000870 MA Part A Provider - Hospice 8527287234 Practice locations: Newton, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316359185. Details of each certification follow.

Hospice certification: CCN 221599

Legal name
ALLIANCE HOSPICE CARE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 19, 2015
Last certification
Sep 13, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
May 27, 2014 in MA
Enrollment address
36 Jaconnet St
Newton, MA 02461-1900

Care Compare: Hospice

Medicare Care Compare
Listed as
Alliance Hospice Care LLCCCN 221599 · All quality measures
Ownership
For-Profit
Certified
Jun 19, 2015
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1340 Centre St
Ste 208
Newton, MA 02459
Phone (617) 663-4881

36 Jaconnet St
Newton, MA 02461
Phone (617) 402-5202

36 Jaconnet St
#105
Newton Highlands, MA 02461

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
Olga Vaserman Individual 5% Or Greater Direct Ownership Interest May 27, 2014 96%
Anna Chein Individual Corporate Director May 12, 2021
W-2 Managing EmployeeAdministrator May 12, 2021

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401235200000",
    "number": "1316359185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 CENTRE ST STE 208",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024592453",
            "telephone_number": "617-663-4881",
            "fax_number": "888-580-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 CENTRE ST STE 208",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024592453",
            "telephone_number": "617-663-4881",
            "fax_number": "888-580-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE HOSPICE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-05-28",
        "status": "A",
        "authorized_official_last_name": "GOLDSHER",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "617-340-8595"
    },
    "taxonomies": [
        {
            "code": "207PH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.