Provider Demographics
NPI:1972567824
Name:PARTNERS HOSPICE, INC.
Entity type:Organization
Organization Name:PARTNERS HOSPICE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO, PARTNERS CONTINUING CARE
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:E
Authorized Official - Last Name:SHAUGHNESSY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-724-2516
Mailing Address - Street 1:281 WINTER ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451-8740
Mailing Address - Country:US
Mailing Address - Phone:781-290-4000
Mailing Address - Fax:781-290-4050
Practice Address - Street 1:281 WINTER ST
Practice Address - Street 2:SUITE 200
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02451-8740
Practice Address - Country:US
Practice Address - Phone:781-290-4000
Practice Address - Fax:781-290-4050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-15
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7206251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA800881OtherTUFTS HEALTH PLAN
MA0008079OtherNEIGHBORHHOOD HEALTH PLAN
MA0608483Medicaid
MA221505OtherBCBS OF MA
MA5798183OtherAETNA
MAAA73324OtherHARVARD PILGRIM HEALTHCAR
221505Medicare ID - Type UnspecifiedPROVIDER NUMBER