Active NPI
Tides Hospice LLC
- Community Based Hospice Care Agency
- Norwell, MA
National Provider Identifier
1538909353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- TIDES HOSPICE LLC
- Practice address
- 320 Washington St Ste 3
Norwell, MA 02061-1700 - Phone
- (781) 295-0680
- Fax
- (781) 486-3073
- NPI assigned
- May 29, 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
- Alexandria Louise Macinnes, RN
- Title
- Clinical Director/Owner
- Phone
- (774) 269-3018
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
320 Washington St Ste 3
Norwell, MA 02061-1700
Mailing address
101 Accord Park Dr Ste 202
Norwell, MA 02061-1667
Phone (781) 295-0680
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240712000802 | MA | Part A Provider - Hospice | 3476098617 | Practice locations: Norwell, MA |
Hospice certification: CCN 221622
- Legal name
- TIDES HOSPICE, LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jul 17, 2024
- Last certification
- Jul 17, 2024
- Organization structure
- LLC
- Enrollment address
- 320 Washington St
Third Floor
Norwell, MA 02061-1700
Care Compare: Hospice
Medicare Care Compare- Listed as
- Tides Hospice, LLC
- Certified
- Jul 17, 2024
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
320 Washington St
Ste 3
Norwell, MA 02061
Phone (781) 295-0680
101 Accord Park Dr
Ste 202
Norwell, MA 02061
Ownership & 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 |
|---|---|---|---|
| Rohit Rattan | Contracted Managing Employee | Apr 18, 2024 | |
| Alexandria L Mac Innes | 5% Or Greater Direct Ownership Interest | Jan 5, 2024 | 20% |
| W-2 Managing Employee | Jan 5, 2024 | 20% | |
| Gary Katz | 5% Or Greater Direct Ownership Interest | Jan 5, 2024 | 30% |
| Nathaniel a Katz | 5% Or Greater Direct Ownership Interest | Jan 5, 2024 | 20% |
| W-2 Managing Employee | Jan 5, 2024 | 20% | |
| Paul Feinstein | 5% Or Greater Direct Ownership Interest | Jan 5, 2024 | 30% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Springfield, MA
- NPI 1598017097
Contracted Managing Employee
Practitioners & affiliated clinicians
Affiliated clinicians 12
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Plymouth, MA
- NPI 1457508079
Hospice
-
- Geriatric Medicine (Family Medicine) Physician
- Marshfield, MA
- NPI 1932147444
Hospice
-
- Geriatric Medicine (Internal Medicine) Physician
- Randolph, MA
- NPI 1669450227
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776643200000",
"number": "1538909353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 ACCORD PARK DR STE 202",
"city": "NORWELL",
"state": "MA",
"postal_code": "020611667",
"telephone_number": "781-295-0680",
"fax_number": "781-486-3073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 WASHINGTON ST STE 3",
"city": "NORWELL",
"state": "MA",
"postal_code": "020611700",
"telephone_number": "781-295-0680",
"fax_number": "781-486-3073"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIDES HOSPICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-29",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A",
"authorized_official_last_name": "MACINNES",
"authorized_official_first_name": "ALEXANDRIA",
"authorized_official_middle_name": "LOUISE",
"authorized_official_title_or_position": "CLINICAL DIRECTOR/OWNER",
"authorized_official_telephone_number": "774-269-3018",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.