Vistacare of Boston, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

VISTACARE OF BOSTON, LLC

Doing business as

Gentiva

Practice address

824 Southbridge St Ste 100
Auburn, MA 01501-1332

Phone

(774) 272-4549

NPI assigned

Dec 11, 2023

Organization subpart

No

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

Authorized official

Name

Janet Combs

Title

VP of Licensure

Phone

(704) 664-2876

Specialties & licenses 1

Addresses

Other names 1

• Gentiva Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Gentiva2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vistacare of Boston, LLC

  dba Gentiva

  • Community Based Hospice Care Agency
  • Beverly, MA
  • NPI 1932927076
  NPD tax ID

Locations

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1487421277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4060",
            "address_2": "ATTN: REGULATORY",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "28117",
            "telephone_number": "704-664-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 SOUTHBRIDGE ST STE 100",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015011332",
            "telephone_number": "774-272-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTACARE OF BOSTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "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"
    },
    "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"
        }
    ]
}

• Matthew Valcourt, DMD
• Tammy E Vargas, M.D.
• Jeannece Vega Zayas
• Daniel Evan Viders, MD
• Visiting Nurse Association of Southern Worcester County Inc. (Central MA Hospice)
• Vivek Mehta DMD PC (Welcome Smiles)
• Deborah Ann Vuillemot, ARNP, CNM
• Carol J Walsh
• Laura Waters
• David E. Weinstock, DO

• Community Based Hospice Care Agency in Auburn, MA
• Providers in Auburn, MA by specialty
• Community Based Hospice Care Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.