Blue Hills Hospice

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

BLUE HILLS HOSPICE

Practice address

290 Route 130
Unit 11-13
Forestdale, MA 02644-4400

Phone

(888) 619-7836

Fax

(617) 481-8967

NPI assigned

Jun 24, 2019

Organization subpart

No

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

Authorized official

Name

Otto Dunker

Title

President

Phone

(617) 212-7987

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561334400000",
    "number": "1659932440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BLUE HILL AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021193321",
            "telephone_number": "617-212-7987",
            "fax_number": "617-989-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 ROUTE 130",
            "address_2": "UNIT 11-13",
            "city": "FORESTDALE",
            "state": "MA",
            "postal_code": "026444400",
            "telephone_number": "888-619-7836",
            "fax_number": "617-481-8967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HILLS HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A",
        "authorized_official_last_name": "DUNKER",
        "authorized_official_first_name": "OTTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-212-7987"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "axxess",
            "affiliation": "N",
            "endpointDescription": "doc software",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "axxess",
            "address_1": "290 Route 130",
            "city": "Forestdale",
            "state": "MA",
            "country_code": "US",
            "postal_code": "026444400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alicia Barroso, ORT/L
• Be Balanced Physical Therapy PLLC
• Barrie Becker, LICSW
• Breanne Bellao
• Olivia J Bengtson
• Blue Hills Therapeutics Inc.
• Andrew M Bonwit, MD
• Gabrielle G Bray, MS OTR/L
• Erin Burritt, OT, OTD, OTR
• Cape Cod Pediatrics LLP

• All providers in Forestdale, MA
• Community Based Hospice Care Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.