NPIMap

Organization Active NPI

Athena Hospice Services of Western Massachusetts, LLC

Doing business as Hospice Services of Western Massachusetts

  • Community Based Hospice Care Agency
  • Feeding Hills, MA
National Provider Identifier
1821399627
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
7J8P Issued in MA
Legal business name
ATHENA HOSPICE SERVICES OF WESTERN MASSACHUSETTS, LLC
Doing business as
Hospice Services of Western Massachusetts
Practice address
1325 Springfield St Ste 12
Feeding Hills, MA 01030-2150
Phone
(413) 786-4004
NPI assigned
Nov 10, 2010
Last updated
Oct 2, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
ATHENA HEALTH CARE ASSOCIATES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Authorized official

Name
Mr. Michael E. Mosier
Title
Cfo
Phone
(860) 751-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 7J8P MA Primary

Addresses

Primary practice location

1325 Springfield St Ste 12
Feeding Hills, MA 01030-2150

Mailing address

135 South Rd
Farmington, CT 06032-2556
Phone (860) 751-3900

Other identifiers 1

IdentifierTypeStateIssuer
110087949AMedicaidMA

Other names 1

  • Hospice Services of Western Massachusetts Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101223000321 MA Part A Provider - Hospice 8527256106 Practice locations: Feeding Hills, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821399627. Details of each certification follow.

Hospice certification: CCN 221576

Legal name
ATHENA HOSPICE SERVICES OF WESTERN MASSACHUSETTS, LLC
Doing business as
HOSPICE OF WESTERN & CENTRAL MASSACHUSETTS
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 7, 2007
Last certification
Aug 3, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Aug 24, 2010 in MA
Enrollment address
1325 Springfield St
Ste 12
Feeding Hills, MA 01030-2150

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice Services of Western & Central MassCCN 221576 · All quality measures
Ownership
For-Profit
Certified
Jun 7, 2007
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Athena Hospice Services of Western Massachusetts LLC2 organizations share this tax ID, including this one
Part of
Athena Health Care Associates Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1325 Springfield St
Ste 12
Feeding Hills, MA 01030
Phone (413) 786-4004

55 Church St
Pittsfield, MA 01201
Phone (413) 442-0045

66 West St
Ste L2
Pittsfield, MA 01201
Phone (413) 629-1200

144 Turnpike Rd
Ste 220
Southborough, MA 01772
Phone (508) 303-3020

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kirubakaran Siva Individual W-2 Managing EmployeeMD; Oct 29, 2024
Michael E Mosier Individual W-2 Managing Employee Dec 1, 2010 4.5%
Athena Health Care Associates, Inc. Organization, Farmington, CT For-profit Operational/Managerial Control Aug 24, 2010
Amy Meyer Individual W-2 Managing EmployeeAd; Dec 27, 1979
Lorrie Rezendes Individual Corporate DirectorDirector of Operations Apr 22, 2015 4.5%
Lawrence G Santilli Individual 5% Or Greater Direct Ownership InterestManager Dec 31, 2018 78.33%
Operational/Managerial ControlManager Aug 24, 2010 78.33%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 25

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 25

Practitioners & affiliated clinicians

Affiliated clinicians 10

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": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1821399627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 SOUTH RD",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322556",
            "telephone_number": "860-751-3900",
            "fax_number": "860-751-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 SPRINGFIELD ST STE 12",
            "city": "FEEDING HILLS",
            "state": "MA",
            "postal_code": "010302150",
            "telephone_number": "413-786-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENA HOSPICE SERVICES OF WESTERN MASSACHUSETTS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATHENA HEALTH CARE ASSOCIATES, INC.",
        "enumeration_date": "2010-11-10",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "MOSIER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "860-751-3900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MA",
            "license": "7J8P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110087949A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice Services of Western Massachusetts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Feeding Hills, MA

Sources for this page

Verify at the official NPI Registry.