Provider Demographics
NPI:1356042865
Name:PONDVIEW HEALTHCARE, LLC
Entity type:Organization
Organization Name:PONDVIEW HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:JEANNITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-203-0779
Mailing Address - Street 1:1 WESTINGHOUSE PLZA 3RD FL STE A310
Mailing Address - Street 2:
Mailing Address - City:HYDE PARK
Mailing Address - State:MA
Mailing Address - Zip Code:02136-2075
Mailing Address - Country:US
Mailing Address - Phone:508-203-0779
Mailing Address - Fax:508-256-0348
Practice Address - Street 1:1 WESTINGHOUSE PLZA 3RD FL STE A310
Practice Address - Street 2:
Practice Address - City:HYDE PARK
Practice Address - State:MA
Practice Address - Zip Code:02136-2075
Practice Address - Country:US
Practice Address - Phone:508-203-0779
Practice Address - Fax:508-256-0348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health