OVERLOOK VISITING NURSE ASSOCIATION, INC. (NPI# 1033176144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033176144 |
| Entity Type | Organization |
| Organization Name | OVERLOOK VISITING NURSE ASSOCIATION, INC. |
| Other Organization Name | OVERLOOK HOSPICE SERVICES |
| Practice Address |
88 Masonic Home Rd Charlton MA 01507-1394 |
| Practice Telephone | 5084342200 |
| Practice Fax Number | 8889789803 |
| Mailing Telephone | 8009907642 |
| Mailing Fax Number | 8889789808 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2015-10-07 |
| Authorized Official Name | CHRISTOPHER HART (HOSPICE DIRECTOR OF CLINICAL SERVIC) |
| Authorized Official Telephone | 5084342439 |
| Authorized Official Credential | RN |
| Is Organization Subpart | Y |
| Parent Organization Name | OVERLOOK VISITING NURSE ASSOCIATION, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251G00000X | Hospice Care, Community Based | 77AZ | MA | Agencies |
| Y | 251G00000X | Hospice Care, Community Based | MA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MASS HEALTH | 110024506D | 01 | |
| MA | BLUECROSS BLUESHEILD | 120443 | 01 |
| MA | LICENSE | 0611794 | 01 |
| MA | 0611794 | 05 | |
| MA | CLIA | 22D1050860 | 01 |
| Other Name | Type Code |
|---|---|
| Overlook Hospice Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427032192 | Overlook Visiting Nurse Association, Inc. | Home Health | 1 Webly Road, New Bedford, MA 02745 | 2005-12-06 |
| 1730182981 | Overlook Visiting Nurse Association, Inc. | Home Health | 88 Masonic Home Road, Charlton, MA 01507-1394 | 2005-05-23 |
| 1184608333 | Overlook Visiting Nurse Association, Inc. | Home Health | 88 Masonic Home Rd, Charlton, MA 01507-1394 | 2005-12-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | OVERLOOK VISITING NURSE ASSOCIATION, INC. | 88 Masonic Home Rd., Charlton, MA 01507 |
| Street Address |
88 MASONIC HOME RD |
| City | CHARLTON |
| State | MA |
| Zip Code | 01507-1394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184613275 | Overlook Masonic Health Center Inc | Non-emergency Medical Transport (VAN) | 88 Masonic Home Rd, Charlton, MA 01507-1394 | 2005-10-20 |
| 1861091043 | Nicole Marie Marchand | Nurse Practitioner | 88 Masonic Home Rd, Charlton, MA 01507-1394 | 2020-10-20 |
| 1912401597 | Lori Fasano | Physical Therapist | 88 Masonic Home Rd, Charlton, MA 01507-1394 | 2018-03-20 |
| 1033657341 | Jennifer Marie Olsen Pratt | Physical Therapist | 88 Masonic Home Rd, Charlton, MA 01507-1394 | 2017-02-07 |
| 1942748256 | Mary Cierpich | Occupational Therapist | 88 Masonic Home Rd, Charlton, MA 01507-1394 | 2017-02-07 |
| 1710359583 | Starr Aldrich | Occupational Therapy Assistant | 88 Masonic Home Rd, Charlton, MA 01507-1394 | 2015-10-20 |
| 1467824235 | Jacquelyn M Kallio | Physical Therapy Assistant | 88 Masonic Home Rd, Charlton, MA 01507-1394 | 2015-10-20 |
| 1023424348 | Holly Mcclure | Nurse Practitioner | 88 Masonic Home Rd, Charlton, MA 01507-1394 | 2014-07-08 |
| 1417230301 | Emly Casey | Occupational Therapist | 88 Masonic Home Rd, Charlton, MA 01507-1394 | 2011-09-27 |
| 1356657563 | Kristin Anne Mattson | Physical Therapist | 88 Masonic Home Rd, Charlton, MA 01507-1394 | 2010-08-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477179653 | Lissette Hernandez | Counselor | 159 C Worcester Road, Charlton, MA 01507 | 2020-06-23 |
| 1841657426 | Renee M Gomez-chlebica Od LLC | Optometrist | 109-6 Masonic Home Rd., Charlton, MA 01507 | 2016-01-27 |
| 1467728725 | Rebecca Bullock | Occupational Therapist | 11 Sunset Drive, Charlton, MA 01507 | 2012-03-30 |
| 1326347139 | Michelle Beshire | Pharmacist | 188 Center Depot Rd, Charlton, MA 01507 | 2011-03-18 |
| 1063710762 | Daniel R Tetreault | Specialist/Technologist | 70 Hanson Road, Charlton, MA 01507 | 2011-03-03 |
| 1508901828 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 142 Worcester Rd, Charlton, MA 01507 | 2007-02-21 |
| 1780727743 | Peter Maly | Technician/Technologist | 109-6 Masonic Home Road, Charlton, MA 01507 | 2007-02-15 |
| 1083680128 | Mary-elise Smith | Emergency Medicine | 10 North Main Street, Charlton, MA 01507 | 2006-02-28 |
| 1932183241 | Steven V Vachula II | Optometrist | 20 Southbridge Rd, Charlton, MA 01507 | 2005-11-30 |
| 1154304228 | Teddi Bachawaty | Obstetrics & Gynecology | 9 Trolley Crossing Rd, Charlton, MA 01507 | 2005-11-22 |
| Find all providers in zip 01507 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
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|---|---|---|---|---|
| 1588278782 | Serenity Hospice LLC | Hospice Care, Community Based | 270 Littleton Rd Ste 22, Westford, MA 01886-3524 | 2020-09-04 |
| 1952920068 | Rivers of Hope, Inc | Hospice Care, Community Based | 4 Main St Ste 22, Brockton, MA 02301-4027 | 2020-04-09 |
| 1134688575 | Continuum Care of Mass, LLC | Hospice Care, Community Based | 500 W Cummings Park Ste 6300, Woburn, MA 01801-6541 | 2019-03-15 |
| 1639649304 | Faith and Family Hospice, Inc | Hospice Care, Community Based | 420 Lakeside Ave Ste 203, Marlborough, MA 01752-4571 | 2018-11-26 |
| 1083199749 | New England Hospice | Hospice Care, Community Based | 190 Old Derby St Ste 304, Hingham, MA 02043-4065 | 2018-09-28 |
| 1598252249 | Caring Hospice Services of Massachusetts, LLC | Hospice Care, Community Based | 34 Cedar St Ste 4, Worcester, MA 01609-2560 | 2018-04-18 |
| 1508390584 | Harborside Hospice of Massachusetts, LLC | Hospice Care, Community Based | 241 Winter St, Ste 201, Haverhill, MA 01831 | 2017-04-17 |
| 1215391529 | Trinity Hospice LLC | Hospice Care, Community Based | 545 Sw Cutoff Ste 9, Worcester, MA 01607-1766 | 2016-04-12 |
| 1780044370 | Dignity Hospice Care, Inc | Hospice Care, Community Based | 20 Central Ave # 506, Lynn, MA 01901-1201 | 2016-02-25 |
| 1932443561 | Hebrew Seniorlife Hospice Care, Inc. | Hospice Care, Community Based | 80 Newbridge Way, Dedham, MA 02026-7028 | 2012-11-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.