Active NPI
Preferred Peaceful Transitions Hospice, Inc.
- Community Based Hospice Care Agency
- Milford, MA
National Provider Identifier
1467139964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- PREFERRED PEACEFUL TRANSITIONS HOSPICE, INC.
- Practice address
- 321 Fortune Blvd Ste 106B
Milford, MA 01757-1750 - Phone
- (508) 473-0404
- Fax
- (508) 473-0444
- NPI assigned
- Jun 28, 2023
- Last updated
- Jul 1, 2024
- 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
- John Fletcher
- Title
- Vice President
- Phone
- (508) 473-0404
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NU | Primary |
Addresses
Primary practice location
321 Fortune Blvd Ste 106B
Milford, MA 01757-1750
Mailing address
321 Fortune Blvd Ste 106B
Milford, MA 01757-1750
Phone (508) 473-0404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240917003127 | MA | Part A Provider - Hospice | 0345781498 | Practice locations: Milford, MA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1467139964. Details of each certification follow.
Hospice certification: CCN 221623
- Legal name
- PREFERRED PEACEFUL TRANSITIONS HOSPICE INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Oct 29, 2024
- Last certification
- Oct 17, 2024
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Mar 6, 2023 in MA
- Enrollment address
- 321 Fortune Blvd
Ste 106B
Milford, MA 01757-1750
Care Compare: Hospice
Medicare Care Compare- Listed as
- Preferred Peaceful Transitions Home Health Care Inc
- Certified
- Oct 29, 2024
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2298969 | Preferred Peaceful Transitions Hospice | Certificate of waiver | Feb 11, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 5
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 |
|---|---|---|---|
| Dominic I Butera | 5% Or Greater Direct Ownership Interest | Mar 6, 2023 | 75% |
| Corporate Officer | Mar 6, 2023 | 50% | |
| Phillip D Messer | W-2 Managing Employee | Mar 6, 2023 | 50% |
| John S Fletcher | 5% Or Greater Direct Ownership Interest | Mar 6, 2023 | 15% |
| Corporate Officer | Mar 6, 2023 | 50% | |
| Christopher K Feeley | 5% Or Greater Direct Ownership Interest | Mar 6, 2023 | 10% |
| Melinda a Montiverdi | W-2 Managing Employee | Mar 6, 2023 | 50% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Hospitalist Physician
- Needham, MA
- NPI 1053549329
Affiliated clinicians 10
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": "1687910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719792000000",
"number": "1467139964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 FORTUNE BLVD STE 106B",
"city": "MILFORD",
"state": "MA",
"postal_code": "017571750",
"telephone_number": "508-473-0404",
"fax_number": "508-473-0444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 FORTUNE BLVD STE 106B",
"city": "MILFORD",
"state": "MA",
"postal_code": "017571750",
"telephone_number": "508-473-0404",
"fax_number": "508-473-0444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREFERRED PEACEFUL TRANSITIONS HOSPICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-28",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A",
"authorized_official_last_name": "FLETCHER",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "508-473-0404"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.