BANE HANCOCK PARK, LLC (NPI# 1447614243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447614243 |
| Entity Type | Organization |
| Organization Name | BANE HANCOCK PARK, LLC |
| Other Organization Name | HANCOCK PARK REHABILITATION AND NURSING CENTER |
| Practice Address |
164 Parkingway Quincy MA 02169-5020 |
| Mailing Address |
52 Accord Park Dr Norwell MA 02061-1628 |
| Practice Telephone | 6177734222 |
| Practice Fax Number | 6177731115 |
| Mailing Telephone | 7818786700 |
| Mailing Fax Number | 7818789807 |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2017-03-29 |
| Authorized Official Name | MR. HARRISON BANE (VICE PRESIDENT OF OPERATIONS) |
| Authorized Official Telephone | 7818786700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110119795A | 05 | |
| MA | BLUE CROSS | 700122222571801 | 01 |
| Other Name | Type Code |
|---|---|
| Hancock Park Rehabilitation and Nursing Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306293642 | Bane Hancock Park, LLC | Assisted Living Facility | 164 Parkingway, Quincy, MA 02169-5020 | 2016-05-17 |
| 1215384557 | Bane Hancock Park, LLC | Clinic/Center | 164 Parkingway, Quincy, MA 02169-5020 | 2016-05-17 |
| Street Address |
164 PARKINGWAY |
| City | QUINCY |
| State | MA |
| Zip Code | 02169-5020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548388721 | Melanie Anne Chetwynd | Occupational Therapist | 164 Parkingway, Quincy, MA 02169-5020 | 2007-03-27 |
| 1306293642 | Bane Hancock Park, LLC | Assisted Living Facility | 164 Parkingway, Quincy, MA 02169-5020 | 2016-05-17 |
| 1215384557 | Bane Hancock Park, LLC | Clinic/Center | 164 Parkingway, Quincy, MA 02169-5020 | 2016-05-17 |
| 1326344250 | Leesa Marie Mclaughlin | Physical Therapy Assistant | 164 Parkingway, Quincy, MA 02169-5020 | 2011-02-10 |
| 1871898510 | Ralph Volpe | Physical Therapist | 164 Parkingway, Quincy, MA 02169-5020 | 2011-01-11 |
| 1851507347 | Hancock Park Limited Partnership | Assisted Living Facility | 164 Parkingway, Quincy, MA 02169 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740641398 | Nsl Quincy LLC | Skilled Nursing Facility | 11 Mayor Thomas J Mcgrath Hwy, Quincy, MA 02169-5311 | 2016-03-10 |
| 1194146704 | South Cove Manor Nursing and Rehabilitation Center, Inc. | Skilled Nursing Facility | 288 Washington St, Quincy, MA 02169-5523 | 2013-12-27 |
| 1629237177 | Nf River Chase LLC | Skilled Nursing Facility | 1017 Strong Road, Quincy, FL 32351-5249 | 2008-06-09 |
| 1598974222 | Amy Jean Sherwin | Skilled Nursing Facility | 72 Gridley St, Quincy, MA 02169-1015 | 2007-05-21 |
| 1891847364 | Cf Quincy, LLC | Skilled Nursing Facility | 50 East Central Avenue, Quincy, CA 95971 | 2007-01-17 |
| 1992809156 | Hcm Quincy Convalescent Hosp Inc | Skilled Nursing Facility | 50 Central Avenue, Quincy, CA 95971-9718 | 2006-09-11 |
| 1346285939 | John Adams Nursing Home, LLC | Skilled Nursing Facility | 211 Franklin St, Quincy, MA 02169-7833 | 2006-06-18 |
| 1376517714 | Hancock Park Limited Partnership | Skilled Nursing Facility | 164 Parkingway St, Quincy, MA 02169-5020 | 2006-02-14 |
| 1558359232 | St. Vincents Home, Inc. | Skilled Nursing Facility | 1440 N 10th St, Quincy, IL 62301-1975 | 2005-10-07 |
| 1609864214 | Sycamore Healthcare Centre | Skilled Nursing Facility | 720 Sycamore St, Quincy, IL 62301-1639 | 2005-10-07 |
| Find all providers in QUINCY | ||||
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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.