Active NPI
Hands and Hearts Hospice Corporation
- Community Based Hospice Care Agency
- Wellesley Hills, MA
National Provider Identifier
1750067385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- HANDS AND HEARTS HOSPICE CORPORATION
- Practice address
- 34 Washington St Ste 100
Wellesley Hills, MA 02481-1903 - Phone
- (617) 675-1900
- NPI assigned
- Jun 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason Wrzosek
- Title
- Owner/Vice President
- Phone
- (339) 225-2184
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
34 Washington St Ste 100
Wellesley Hills, MA 02481-1903
Mailing address
34 Washington St Ste 100
Wellesley Hills, MA 02481-1903
Phone (617) 675-1900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240410001845 | MA | Part A Provider - Hospice | 3072951979 | Practice locations: Wellesley Hills, MA |
Hospice certification: CCN 221621
- Legal name
- HANDS AND HEARTS HOSPICE CORPORATION
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Apr 29, 2024
- Last certification
- Apr 18, 2024
- Organization structure
- Corporation
- Incorporated
- Jun 14, 2023 in MA
- Enrollment address
- 34 Washington St
Ste 100
Wellesley Hills, MA 02481-1903
Care Compare: Hospice
Medicare Care Compare- Listed as
- Hands and Hearts Hospice Corporation
- Certified
- Apr 29, 2024
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
34 Washington St
Ste 100
Wellesley Hills, MA 02481
Phone (617) 675-1900
Ownership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Sharon Perryman | W-2 Managing Employee | Jun 14, 2023 | 33% |
| David Nahabedian | 5% Or Greater Direct Ownership Interest | Jun 14, 2023 | 75% |
| Corporate Director | Jun 14, 2023 | 50% | |
| Operational/Managerial Control | Jun 14, 2023 | 75% | |
| Jason Wrzosek | 5% Or Greater Direct Ownership Interest | Jun 14, 2023 | 25% |
| Corporate Director | Jun 14, 2023 | 50% | |
| W-2 Managing Employee | Jun 14, 2023 | 34% | |
| David Huei-Liang Tsai | W-2 Managing Employee | Jun 14, 2023 | 33% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Internal Medicine) Physician
- Lowell, MA
- NPI 1386673713
W-2 Managing Employee
Practitioners & affiliated clinicians
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": "1687824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687824000000",
"number": "1750067385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 WASHINGTON ST STE 100",
"city": "WELLESLEY HILLS",
"state": "MA",
"postal_code": "024811903",
"telephone_number": "617-675-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 WASHINGTON ST STE 100",
"city": "WELLESLEY HILLS",
"state": "MA",
"postal_code": "024811903",
"telephone_number": "617-675-1900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HANDS AND HEARTS HOSPICE CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-27",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A",
"authorized_official_last_name": "WRZOSEK",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "OWNER/VICE PRESIDENT",
"authorized_official_telephone_number": "339-225-2184"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wellesley Hills, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.