Organization
OVERLOOK VISITING NURSE ASSOCIATION, INC.
Active
Parent organization
OVERLOOK VISITING NURSE ASSOCIATION, INC.
Other names
Overlook Hospice Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
OVERLOOK VISITING NURSE ASSOCIATION, INC.
Authorized official
CHRISTOPHER HART RN (HOSPICE DIRECTOR OF CLINICAL SERVIC)
(508) 434-2439
Entity
Organization
Contact information
Practice address
88 MASONIC HOME RD, CHARLTON, MA 01507-1394
(508) 434-2200
(888) 978-9803
Mailing address
88 MASONIC HOME RD, CHARLTON, MA 01507-1394
(800) 990-7642
(888) 978-9808
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
77AZ
MA
251G00000X
Community Based Hospice Care Agency
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0611794
LICENSE
MA
05
—
0611794
—
MA
01
—
110024506D
MASS HEALTH
—
01
—
120443
BLUECROSS BLUESHEILD
MA
01
—
22D1050860
CLIA
MA
Enumeration date
05/01/2006
Last updated
10/07/2015
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