Provider Demographics
NPI:1720405988
Name:HOPEHEALTH HOSPICE & PALLIATIVE CARE
Entity Type:Organization
Organization Name:HOPEHEALTH HOSPICE & PALLIATIVE CARE
Other - Org Name:HOPEHEALTH, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ADOZINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:KANE
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:401-415-4635
Mailing Address - Street 1:1324 BELMONT ST STE 202
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-4435
Mailing Address - Country:US
Mailing Address - Phone:508-957-0200
Mailing Address - Fax:508-957-0229
Practice Address - Street 1:1324 BELMONT ST STE 202
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-4435
Practice Address - Country:US
Practice Address - Phone:508-957-0200
Practice Address - Fax:508-957-0229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-26
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA56410208D00000X
MA208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0005640OtherMEDICARE PART B PROVIDER NUMBER
0005640OtherMEDICARE PART B PROVIDER NUMBER