OLD COLONY HOSPICE INC. (NPI# 1649615477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649615477 |
| Entity Type | Organization |
| Organization Name | OLD COLONY HOSPICE INC. |
| Other Organization Name | OLD COLONY PALLIATIVE CARE SERVICES |
| Practice Address |
1 Credit Union Way Randolph MA 02368-4633 |
| Practice Telephone | 7813414145 |
| Practice Fax Number | 7812977345 |
| Mailing Telephone | 7813414145 |
| Mailing Fax Number | 7812977345 |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2013-05-29 |
| Authorized Official Name | TONI EATON (PRESIDENT/CEO) |
| Authorized Official Telephone | 7813414145 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Old Colony Palliative Care Services | Doing Business As Name - Organization |
| Street Address |
1 CREDIT UNION WAY |
| City | RANDOLPH |
| State | MA |
| Zip Code | 02368-4633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023072246 | Sterling Bouxman | Nurse Practitioner | 1 Credit Union Way, Randolph, MA 02368 | 2006-04-14 |
| 1871526178 | Ruth A Mclain | Internal Medicine | 1 Credit Union Way, Randolph, MA 02368-4633 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016444 | Kadiatou Djindji Bah | Behavior Technician | 75 N Main St Suite 628, Randolph, MA 02368 | 2020-09-02 |
| 1194334490 | Madison Murphy | Behavior Technician | 75 North Main Street, Ma, Suite #628, Randolph, MA 02368 | 2020-07-23 |
| 1255995049 | Daniel Joseph Bellistri | Social Worker | Daniel Bellistri, 70 Memorial Pkwy., Randolph, MA 02368 | 2019-04-26 |
| 1992291124 | Ashley Lauren Davis | Licensed Practical Nurse | 11 Mcdonnell Drive, Randolph, MA 02368 | 2018-07-11 |
| 1023503943 | Jean Rony Mesalon | Licensed Practical Nurse | 8 Reynolds Ave, Randolph, MA 02368 | 2018-06-22 |
| 1154829208 | Tatianna Lovette Hendren | Behavioral Analyst | 28 Liberty Place, Apartment C, Randolph, MA 02368 | 2018-01-24 |
| 1841709698 | Gerica Barbosa | Counselor | 37 Sarah St, Randolph, MA 02368 | 2017-09-25 |
| 1437508629 | Julie A Panchamsingh-barakat | Social Worker | 400-, 402 N Main St, Randolph, MA 02368 | 2016-06-08 |
| 1497109789 | Grace Dorcas Pokuah | Counselor | 24 Nelson Dr, #1a, Randolph, MA 02368 | 2016-04-22 |
| 1194185868 | Heavenly Home Care | Home Health | 9 William Morrison Drive, Randolph, MA 02368 | 2016-02-24 |
| Find all providers in zip 02368 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073138640 | Life Choice Hospice of Southern Massachusetts LLC | Internal Medicine | 790 Turnpike St Ste 202, North Andover, MA 01845-6138 | 2020-06-10 |
| 1992325161 | Life Choice Hospice of Western Massachusetts LLC | Internal Medicine | 19 Midstate Dr Ste 130, Auburn, MA 01501-1858 | 2020-04-17 |
| 1225544034 | Hibah Osman | Internal Medicine | 55 Fruit St, Founders 600, Boston, MA 02114-2696 | 2017-12-18 |
| 1982021135 | Samantha Shapiro | Internal Medicine | 330 Brookline Ave, Boston, MA 02215-5491 | 2014-03-26 |
| 1861816050 | Jonathan Chong-yen Yeh | Internal Medicine | 330 Brookline Ave, Palliative Care, Yamins 100, Boston, MA 02215 | 2014-02-10 |
| 1376832303 | Laura Anne Petrillo | Internal Medicine | 55 Fruit St, Boston, MA 02114-2621 | 2011-03-30 |
| 1588974968 | Haipeng Zhang | Internal Medicine | 55 Fruit St, Founders Suite 600, Boston, MA 02114-2621 | 2010-10-19 |
| 1801113550 | Isaac Shin Chua | Internal Medicine | 450 Brookline Ave, Boston, MA 02215-5418 | 2010-04-21 |
| 1194051771 | Joshua Lakin | Internal Medicine | 450 Brookline Ave, Boston, MA 02215-5418 | 2009-11-02 |
| 1437312220 | David Karingantil Thomas | Internal Medicine | 75 Francis St, Boston, MA 02115-6110 | 2008-07-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on OLD COLONY HOSPICE INC..
| 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.