South Shore Hospital Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

009 Issued in MA

Legal business name

SOUTH SHORE HOSPITAL INC.

Doing business as

Hospice of the South Shore

Practice address

100 Bay State Drive
Braintree, MA 02184-9060

Phone

(781) 849-1710

NPI assigned

Sep 20, 2006

Last updated

Dec 28, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

SOUTH SHORE HOSPITAL, INC.As reported in NPPES

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

Authorized official

Name

Joseph Cahill

Title

Executive Vice President Coo

Phone

(781) 340-8622

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Hospice of the South Shore Doing business as

Electronic endpoints 1

Part of

Emer Care Phys of the S

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1801994389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BAY STATE DRIVE",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021849060",
            "telephone_number": "781-849-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BAY STATE DRIVE",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021849060",
            "telephone_number": "781-849-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE HOSPITAL INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH SHORE HOSPITAL, INC.",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "CAHILL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT COO",
        "authorized_official_telephone_number": "781-340-8622"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MA",
            "license": "009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "221517",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH CA",
            "identifier": "702240",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0605883",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "803016",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Hospice of the South Shore",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hospice of the South Shore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• South Shore Endoscopy Center, Inc
• South Shore Health Care, Inc.
• South Shore Health Express, Inc
• South Shore Hospital (Home and Health Resources)
• South Shore Hospital Inc. (South Shore Visiting Nurse Association)
• South Shore Physiatry and Spasticity Management
• South Shore Skin Surgeons Bi LLC (South Shore Skin Surgeons, PC)
• South Shore Skin Surgeons, PC
• South Shore Therapy and Associates
• Southeast Physical Therapy Services, Inc.

• Community Based Hospice Care Agency in Braintree, MA
• Providers in Braintree, MA by specialty
• Community Based Hospice Care Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.