Active NPI
Hospice of Boston Inc
- Community Based Hospice Care Agency
- Brockton, MA
National Provider Identifier
1790728905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 7224
- Legal business name
- HOSPICE OF BOSTON INC
- Practice address
- 500 Belmont St
Brockton, MA 02301-4985 - Phone
- (508) 583-0383
- NPI assigned
- Jun 14, 2006
- 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
- Ruth Capernaros
- Title
- President Ceo
- Phone
- (508) 583-0383
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 7224 | MA | Primary |
Addresses
Primary practice location
500 Belmont St
Brockton, MA 02301-4985
Mailing address
500 Belmont Street
Brockton, MA 02301
Phone (508) 583-0383
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0604917 | Medicaid | MA |
Other names 1
- Hospice of Greater Brockton
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1790728905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 BELMONT STREET",
"city": "BROCKTON",
"state": "MA",
"postal_code": "02301",
"telephone_number": "508-583-0383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 BELMONT ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023014985",
"telephone_number": "508-583-0383"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPICE OF BOSTON INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CAPERNAROS",
"authorized_official_first_name": "RUTH",
"authorized_official_title_or_position": "PRESIDENT CEO",
"authorized_official_telephone_number": "508-583-0383"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "MA",
"license": "7224",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0604917",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hospice of Greater Brockton",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.