Organization Active NPI

Hancock Park Limited Partnership

  • Skilled Nursing Facility
  • Quincy, MA
National Provider Identifier
1376517714
Registry record updated Jun 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
OFEG Issued in MA
Legal business name
HANCOCK PARK LIMITED PARTNERSHIP
Practice address
164 Parkingway St
Quincy, MA 02169-5020
Phone
(617) 773-4222
Fax
(617) 773-1115
NPI assigned
Feb 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2011

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

Authorized official

Name
Mr. Michael Welch
Title
Vice President
Phone
(781) 878-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X OFEG MA Primary

Addresses

Primary practice location

164 Parkingway St
Quincy, MA 02169-5020

Mailing address

52 Accord Park Dr
Norwell, MA 02061-1628
Phone (781) 878-6700

Other identifiers 5

IdentifierTypeStateIssuer
0012772OtherMANIEGHBORHOOD HEALTH - HMO
0923257MedicaidMA
2222571801OtherMABLUE CROSS - HMO
805464OtherMATUFTS HEALTH - HMO
905759OtherMAHARVARD PILGRIM - HMO

Other names 1

  • Hancock Park Rehabilitation and Nursing Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bane Hancock Park LLC4 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.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308873600000",
    "number": "1376517714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 ACCORD PARK DR",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611628",
            "telephone_number": "781-878-6700",
            "fax_number": "781-878-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 PARKINGWAY ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695020",
            "telephone_number": "617-773-4222",
            "fax_number": "617-773-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANCOCK PARK LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2011-06-24",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "781-878-6700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "OFEG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NIEGHBORHOOD HEALTH - HMO",
            "identifier": "0012772",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0923257",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS - HMO",
            "identifier": "2222571801",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH - HMO",
            "identifier": "805464",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM - HMO",
            "identifier": "905759",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hancock Park Rehabilitation and Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; 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.