Provider Demographics
NPI:1316359185
Name:ALLIANCE HOSPICE CARE LLC
Entity Type:Organization
Organization Name:ALLIANCE HOSPICE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:IRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDSHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-340-8595
Mailing Address - Street 1:1340 CENTRE ST STE 208
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02459-2453
Mailing Address - Country:US
Mailing Address - Phone:617-663-4881
Mailing Address - Fax:888-580-6161
Practice Address - Street 1:1340 CENTRE ST STE 208
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02459-2453
Practice Address - Country:US
Practice Address - Phone:617-663-4881
Practice Address - Fax:888-580-6161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-28
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PH0002XAllopathic & Osteopathic PhysiciansEmergency MedicineHospice and Palliative MedicineGroup - Single Specialty