Organization
OLD COLONY HOSPICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONI EATON (CEO)
(781) 341-4145
Entity
Organization
Contact information
Practice address
321 MANLEY ST, W BRIDGEWATER, MA 02379-1022
(781) 341-4145
(781) 297-7345
Mailing address
ONE CREDIT UNION WAY, RANDOLPH, MA 02368
(781) 341-4145
(781) 297-7345
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
7214
MA
363LF0000X
Family Nurse Practitioner
Primary
7214
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018209
NEIGHBORHOOD HEALTH PLAN
—
05
—
0604593
—
MA
01
—
221514
BLUE CROSS BLUE SHIELD
—
01
—
46302
AETNA
—
01
—
700346
HOWARD PILGRIM
—
01
—
901570
TUFTS
—
Enumeration date
08/30/2006
Last updated
03/31/2023
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