Active NPI
Alliance Hospice Care LLC
- Hospice and Palliative Medicine (Emergency Medicine) Physician
- Newton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Emergency Medicine) Physician
- 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, 2014
- 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
- Irina Goldsher
- Title
- Managing Director
- Phone
- (617) 340-8595
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Emergency Medicine) Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Ownership
- For-Profit
- Certified
- Jun 19, 2015
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Olga Vaserman | 5% Or Greater Direct Ownership Interest | May 27, 2014 | 96% |
| Anna Chein | Corporate Director | May 12, 2021 | |
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.