Provider Demographics
NPI:1750387981
Name:ALL CARE HOSPICE INC.
Entity type:Organization
Organization Name:ALL CARE HOSPICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JO-MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:KOOPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-598-2454
Mailing Address - Street 1:210 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01901-1536
Mailing Address - Country:US
Mailing Address - Phone:781-598-2454
Mailing Address - Fax:781-244-1058
Practice Address - Street 1:210 MARKET ST
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01901-1536
Practice Address - Country:US
Practice Address - Phone:781-598-2454
Practice Address - Fax:781-244-1058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-22
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7KSU251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110024152BMedicaid
221562Medicare ID - Type Unspecified