Organization Active NPI

West River Care, Inc.

  • Community Based Hospice Care Agency
  • Needham, MA
National Provider Identifier
1427048727
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
7D9Z Issued in MA
Legal business name
WEST RIVER CARE, INC.
Practice address
63 Kendrick St
Needham, MA 02494-2708
Phone
(781) 707-9577
Fax
(781) 707-9597
NPI assigned
Oct 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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

Authorized official

Name
Mr. Jonathan E. Gould
Title
Vice President
Phone
(781) 707-9577

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 7D9Z MA Primary
Community Based Hospice Care Agency 251G00000X 7KNQ MA

Addresses

Primary practice location

63 Kendrick St
Needham, MA 02494-2708

Mailing address

63 Kendrick St
Needham, MA 02494-2708

Other identifiers 2

IdentifierTypeStateIssuer
0608505MedicaidMA
0609587MedicaidMA

Other names 1

  • West River Care Other name

National Provider Directory

National Provider Directory

Locations

2310 Washington St
Ste 100
Newton Lower Falls, MA 02462
Phone (781) 707-9580

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1427048727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 KENDRICK ST",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024942708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 KENDRICK ST",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024942708",
            "telephone_number": "781-707-9577",
            "fax_number": "781-707-9597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST RIVER CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "GOULD",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "781-707-9577",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MA",
            "license": "7D9Z",
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MA",
            "license": "7KNQ",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0608505",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0609587",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West River Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Needham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.