Organization
GOOD SAMARITAN HOSPICE
Active
Other names
Caritas Good Samaritan Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEO P SMITH LICSW (EXECUTIVE DIRECTOR)
(617) 566-6242
Entity
Organization
Contact information
Practice address
310 ALLSTON ST, BRIGHTON, MA 02135-7659
(617) 566-6242
(617) 566-3055
Mailing address
310 ALLSTON ST, BRIGHTON, MA 02135-7659
(617) 566-6242
(617) 566-3055
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
7218
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0604658
—
MA
01
—
224518
BLUE CROSS BLUE SHIELD
MA
01
—
702185
HARVARD PILGRIM
MA
01
—
800943
TUFTS HEALTH PLAN FO MA
MA
Enumeration date
06/19/2006
Last updated
08/22/2020
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