Provider Demographics
NPI:1508052465
Name:CLIFTON HOSPICE SERVICES, LLC
Entity type:Organization
Organization Name:CLIFTON HOSPICE SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:GOVERNING BODY
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:VINCENT
Authorized Official - Last Name:FEIST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-525-6693
Mailing Address - Street 1:10 N MAIN ST STE 1
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-2130
Mailing Address - Country:US
Mailing Address - Phone:508-675-7583
Mailing Address - Fax:508-677-1436
Practice Address - Street 1:10 N MAIN ST STE 1
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-2130
Practice Address - Country:US
Practice Address - Phone:508-675-7583
Practice Address - Fax:508-214-1595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-24
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7AKP251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110091642BMedicaid
MA110091642BMedicaid