NPIMap

Organization Active NPI

Athena Hospice Services of Massachusetts, LLC

Doing business as Hospice Services of Massachusetts

  • Community Based Hospice Care Agency
  • Lakeville, MA
National Provider Identifier
1578864377
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
7J03 Issued in MA
Legal business name
ATHENA HOSPICE SERVICES OF MASSACHUSETTS, LLC
Doing business as
Hospice Services of Massachusetts
Practice address
10 Riverside Dr Ste 201
Lakeville, MA 02347-1689
Phone
(508) 291-0049
NPI assigned
Nov 10, 2010
Last updated
Jul 31, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
ATHENA HEALTH CARE ASSOCIATES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Authorized official

Name
Mr. Lawrence G. Santilli
Title
Manager
Phone
(860) 751-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 7J03 MA Primary

Addresses

Primary practice location

10 Riverside Dr Ste 201
Lakeville, MA 02347-1689

Mailing address

10 Riverside Dr Ste 201
Lakeville, MA 02347-1689
Phone (508) 291-0049

Other identifiers 1

IdentifierTypeStateIssuer
110087953AMedicaidMA

Other names 1

  • Hospice Services of Massachusetts Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101223000311 MA Part A Provider - Hospice 9537357116 Practice locations: Haverhill, MA; Lakeville, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1578864377. Details of each certification follow.

Hospice certification: CCN 221570

Legal name
ATHENA HOSPICE SERVICES OF MASSACHUSETTS, LLC
Doing business as
HOSPICE SERVICES OF MASSACHUSETTS
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 28, 2006
Last certification
Jan 4, 2022
Ownership / control type
Other
Organization structure
LLCProprietary
Incorporated
Aug 24, 2010 in MA
Enrollment address
10 Riverside Dr
Ste 201
Lakeville, MA 02347-1689

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice Services of MassachusettsCCN 221570 · All quality measures
Ownership
For-Profit
Certified
Apr 28, 2006
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D1054085Hospice Services of Massachusetts10 Riverside Drive, Lakeville, MA 02347Certificate of waiverNov 16, 2026

National Provider Directory

National Provider Directory
Tax ID family
Athena Hospice Services of Massachusetts LLC2 organizations share this tax ID, including this one
Part of
Athena Health Care Associates Inc

Other organizations with this tax ID 1

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

Locations

681 Main St
Haverhill, MA 01830
Phone (978) 420-1500

10 Riverside Dr
Ste 201
Lakeville, MA 02347
Phone (508) 291-0049

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lawrence E Santilli Individual 5% Or Greater Direct Ownership Interest Dec 1, 2010 8.68%
Kirubakaran Siva Individual W-2 Managing EmployeeMD; Jan 1, 2025
Michael E Mosier Individual W-2 Managing Employee Dec 1, 2010 4.5%
Athena Health Care Associates, Inc. Organization, Farmington, CT For-profit Operational/Managerial Control Dec 1, 2010
Michael Cruza Individual W-2 Managing EmployeeAd; Aug 6, 2025
Lawrence G Santilli Individual 5% Or Greater Direct Ownership InterestCeo Aug 1, 2018 78.32%
Krista Santilli Grace Individual 5% Or Greater Direct Ownership Interest Aug 8, 2025 9%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 25

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 25

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.

Affiliated clinicians 9

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": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564531200000",
    "number": "1578864377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 RIVERSIDE DR STE 201",
            "city": "LAKEVILLE",
            "state": "MA",
            "postal_code": "023471689",
            "telephone_number": "508-291-0049",
            "fax_number": "508-291-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 RIVERSIDE DR STE 201",
            "city": "LAKEVILLE",
            "state": "MA",
            "postal_code": "023471689",
            "telephone_number": "508-291-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENA HOSPICE SERVICES OF MASSACHUSETTS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATHENA HEALTH CARE ASSOCIATES, INC.",
        "enumeration_date": "2010-11-10",
        "last_updated": "2019-07-31",
        "status": "A",
        "authorized_official_last_name": "SANTILLI",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-751-3900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MA",
            "license": "7J03",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110087953A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice Services of Massachusetts",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hospice Services of Massachusetts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeville, MA

Sources for this page

Verify at the official NPI Registry.