Provider Demographics
NPI:1558496323
Name:NEW ENGLAND HOSPICE II LLC
Entity Type:Organization
Organization Name:NEW ENGLAND HOSPICE II LLC
Other - Org Name:NEW ENGLAND HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGG
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:ESTEY
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:781-544-7723
Mailing Address - Street 1:190 OLD DERBY STREET
Mailing Address - Street 2:STE 304
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043
Mailing Address - Country:US
Mailing Address - Phone:781-749-2900
Mailing Address - Fax:781-749-2950
Practice Address - Street 1:190 OLD DERBY STREET
Practice Address - Street 2:STE 304
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043
Practice Address - Country:US
Practice Address - Phone:781-749-2900
Practice Address - Fax:781-749-2950
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PGM HEALTHCARE INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-22
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA221563251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0609510Medicaid
MA0609510Medicaid