NPIMap

Organization Active NPI

Faith and Family Hospice, Inc

  • Community Based Hospice Care Agency
  • Marlborough, MA
National Provider Identifier
1639649304
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
FAITH AND FAMILY HOSPICE, INC
Practice address
400 Donald Lynch Blvd Ste 104
Marlborough, MA 01752-4733
Phone
(508) 485-4555
Fax
(508) 597-7304
NPI assigned
Nov 26, 2018
Last updated
Dec 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Authorized official

Name
Mr. Peter H Carney
Title
Executive Director
Phone
(508) 485-4555

Specialties & licenses 1

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

Addresses

Primary practice location

400 Donald Lynch Blvd Ste 104
Marlborough, MA 01752-4733

Mailing address

400 Donald Lynch Blvd Ste 104
Marlborough, MA 01752-4733
Phone (508) 485-4555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181220000092 MA Part A Provider - Hospice 4183969108 Practice locations: Marlborough, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639649304. Details of each certification follow.

Hospice certification: CCN 221607

Legal name
FAITH AND FAMILY HOSPICE INC
Doing business as
FAITH AND FAMILY SUPPORTIVE CARE & HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 10, 2019
Last certification
Apr 10, 2019
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Nov 29, 2017 in MA
Enrollment address
420 Lakeside Ave
Ste 203
Marlborough, MA 01752-4571

Care Compare: Hospice

Medicare Care Compare
Listed as
Faith and Family HospiceCCN 221607 · All quality measures
Ownership
For-Profit
Certified
Apr 10, 2019
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
22D2158896Faith & Family Hospice420 Lakeside Avenue Ste 203, Marlborough, MA 01752Certificate of waiverDec 9, 2026

National Provider Directory

National Provider Directory

Locations

400 Donald Lynch Blvd
Ste 104
Marlborough, MA 01752
Phone (508) 485-4555

420 Lakeside Ave
Ste 203
Marlborough, MA 01752
Phone (508) 485-4555

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.

NameRoleSinceShare
Corey B Saltin Individual Contracted Managing EmployeeMD; Dec 1, 2018
Jillian M Bunker Individual W-2 Managing EmployeeAd; May 7, 2024
Peter H Carney Individual 5% Or Greater Direct Ownership InterestCeo Nov 29, 2017 33.34%
Corporate OfficerChief Executive Officer Nov 29, 2017 33.34%
Operational/Managerial ControlCeo Jan 25, 2021 33.34%
Daniel Carney Individual 5% Or Greater Direct Ownership InterestGoverning Board Member Nov 29, 2017 33.33%
Thomas F. Carney Individual 5% Or Greater Direct Ownership InterestGoverning Board Member Nov 29, 2017 33.33%

Owners & managing parties with NPI records 2

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.

Affiliated clinicians 11

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": "1543190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1639649304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 DONALD LYNCH BLVD STE 104",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017524733",
            "telephone_number": "508-485-4555",
            "fax_number": "508-597-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 DONALD LYNCH BLVD STE 104",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017524733",
            "telephone_number": "508-485-4555",
            "fax_number": "508-597-7304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH AND FAMILY HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-26",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A",
        "authorized_official_last_name": "CARNEY",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "508-485-4555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

Verify at the official NPI Registry.