NPIMap

Organization Active NPI

Vistacare of Boston LLC

  • Community Based Hospice Care Agency
  • Sandwich, MA
National Provider Identifier
1366119562
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
VISTACARE OF BOSTON LLC
Doing business as
Gentiva
Practice address
2 Tupper Rd Unit 3
Sandwich, MA 02563-5323
Phone
(774) 205-2842
Fax
(888) 254-1779
NPI assigned
Aug 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Authorized official

Name
Ms. Janet Combs
Title
VP of Licensure
Phone
(704) 664-2876

Specialties & licenses 1

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

Addresses

Primary practice location

2 Tupper Rd Unit 3
Sandwich, MA 02563-5323

Mailing address

PO Box 4060
Mooresville, NC 28117-4060
Phone (704) 664-0416

Other names 1

  • Gentiva Doing business as

National Provider Directory

National Provider Directory

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Locations

275 Martine St
Ste 202
Fall River, MA 02723
Phone (508) 672-0580

2 Tupper Rd
Unit 3
Sandwich, MA 02563
Phone (774) 205-2842

2 Willow St
Ste 102
Southborough, MA 01745
Phone (508) 229-0912

690 Canton St
Ste 220
Westwood, MA 02090
Phone (781) 407-9900

NPI Registry JSON

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1366119562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4060",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281174060",
            "telephone_number": "704-664-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TUPPER RD UNIT 3",
            "city": "SANDWICH",
            "state": "MA",
            "postal_code": "025635323",
            "telephone_number": "774-205-2842",
            "fax_number": "888-254-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTACARE OF BOSTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-25",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "VP OF LICENSURE",
        "authorized_official_telephone_number": "704-664-2876",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentiva",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sandwich, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.