NPIMap

Organization Active NPI

Old Colony Hospice Inc.

Doing business as Old Colony Palliative Care Services

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Randolph, MA
National Provider Identifier
1649615477
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
Legal business name
OLD COLONY HOSPICE INC.
Doing business as
Old Colony Palliative Care Services
Practice address
1 Credit Union Way
Randolph, MA 02368-4633
Phone
(781) 341-4145
Fax
(781) 297-7345
NPI assigned
May 7, 2013
Last updated
May 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Authorized official

Name
Toni Eaton
Title
President/Ceo
Phone
(781) 341-4145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RH0002X Primary

Addresses

Primary practice location

1 Credit Union Way
Randolph, MA 02368-4633

Mailing address

1 Credit Union Way
Randolph, MA 02368-4633
Phone (781) 341-4145

Other names 1

  • Old Colony Palliative Care Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070918000321 MA Part B Supplier - Clinic/Group Practice 4587611199 Receives reassigned benefits from 9 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: West Bridgewater, MA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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.

Locations

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

1 Credit Union Way
#F13
Randolph, MA 02368

321 Manley St
West Bridgewater, MA 02379
Phone (781) 341-4145

Practitioners & affiliated clinicians

Practitioners 31

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.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369785600000",
    "number": "1649615477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CREDIT UNION WAY",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684633",
            "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": "1 CREDIT UNION WAY",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684633",
            "telephone_number": "781-341-4145",
            "fax_number": "781-297-7345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD COLONY HOSPICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-07",
        "last_updated": "2013-05-29",
        "status": "A",
        "authorized_official_last_name": "EATON",
        "authorized_official_first_name": "TONI",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "781-341-4145"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Old Colony Palliative Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.