NPIMap

Organization Active NPI

Old Colony Hospice Inc

  • Nurse Practitioner
  • Randolph, MA
National Provider Identifier
1578662987
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
7214 Issued in MA
Legal business name
OLD COLONY HOSPICE INC
Practice address
One Credit Union Way
Randolph, MA 02368
Phone
(781) 341-4145
Fax
(781) 297-7345
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Marge Levy
Title
Ceo
Phone
(781) 341-4145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 7214 MA Primary

Addresses

Primary practice location

One Credit Union Way
Randolph, MA 02368

Mailing address

One Credit Union Way
Randolph, MA 02368
Phone (781) 341-4145

National Provider Directory

National Provider Directory
Tax ID family
Old Colony Hospice Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578662987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE CREDIT UNION WAY",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "02368",
            "telephone_number": "781-341-4145",
            "fax_number": "781-297-7345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE CREDIT UNION WAY",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "02368",
            "telephone_number": "781-341-4145",
            "fax_number": "781-297-7345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD COLONY HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "MARGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "781-341-4145"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "7214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.