Organization Active NPI

Southcoast Hospitals Group, Inc

  • Home Health Agency
  • Fairhaven, MA
National Provider Identifier
1659398626
Registry record updated Apr 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
V113 Issued in MA
Legal business name
SOUTHCOAST HOSPITALS GROUP, INC
Practice address
200 Mill Rd
Fairhaven, MA 02719-5252
Phone
(508) 984-0200
Fax
(508) 984-0217
NPI assigned
Jul 16, 2006
Last updated
Apr 3, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHCOAST HEALTH SYSTEM, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 3, 2009

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

Authorized official

Name
William E Grigg, CPA,FHFMA
Title
Executive Vice President & Cfo
Phone
(508) 961-5016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X V113 MA Primary

Addresses

Primary practice location

200 Mill Rd
Fairhaven, MA 02719-5252

Mailing address

200 Mill Rd
Fairhaven, MA 02719-5252
Phone (508) 984-0200

Other identifiers 9

IdentifierTypeStateIssuer
0014272OtherNEIGHBORHOOD HLTH PLAN
702122OtherHARVARD PILGRIM
120194OtherBLUE CROSS
801326OtherTUFTS
6000002OtherUNITED HEALTH PLANS
000000022409OtherBMC HEALTHNET
6300655OtherAETNA
0612642MedicaidMA
602684300OtherUS DPT OF LABOR

Other names 1

  • Southcoast Home Care Other name

National Provider Directory

National Provider Directory
Part of
Southcoast Health System Inc

Locations

200 Mill Rd
Fairhaven, MA 02719
Phone (508) 973-2000

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238716800000",
    "number": "1659398626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MILL RD",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027195252",
            "telephone_number": "508-984-0200",
            "fax_number": "508-984-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MILL RD",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027195252",
            "telephone_number": "508-984-0200",
            "fax_number": "508-984-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHCOAST HOSPITALS GROUP, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHCOAST HEALTH SYSTEM, INC",
        "enumeration_date": "2006-07-16",
        "last_updated": "2009-04-03",
        "status": "A",
        "authorized_official_last_name": "GRIGG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT & CFO",
        "authorized_official_telephone_number": "508-961-5016",
        "authorized_official_credential": "CPA,FHFMA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MA",
            "license": "V113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HLTH PLAN",
            "identifier": "0014272",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "702122",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "120194",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "801326",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH PLANS",
            "identifier": "6000002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTHNET",
            "identifier": "000000022409",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "6300655",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0612642",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DPT OF LABOR",
            "identifier": "602684300",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southcoast Home Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fairhaven, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; 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.