Provider Demographics
NPI:1639649304
Name:FAITH AND FAMILY HOSPICE, INC
Entity Type:Organization
Organization Name:FAITH AND FAMILY HOSPICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:H
Authorized Official - Last Name:CARNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-485-4555
Mailing Address - Street 1:420 LAKESIDE AVENUE
Mailing Address - Street 2:STE. 203
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-4571
Mailing Address - Country:US
Mailing Address - Phone:508-485-4555
Mailing Address - Fax:508-597-7304
Practice Address - Street 1:420 LAKESIDE AVENUE
Practice Address - Street 2:STE. 203
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-4571
Practice Address - Country:US
Practice Address - Phone:508-485-4555
Practice Address - Fax:508-597-7304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-26
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based