Organization
VISTACARE OF BOSTON, LLC
Active
Other names
Kindred Hospice, Gentiva
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANET COMBS (VP OF LICENSURE)
(704) 662-1761
Entity
Organization
Contact information
Practice address
275 MARTINE ST STE 202, FALL RIVER, MA 02723-1516
(508) 672-0580
(508) 672-0581
Mailing address
PO BOX 4060, MOORESVILLE, NC 28117-4060
(704) 664-2876
(704) 664-1306
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110095326A
—
MA
Enumeration date
09/06/2011
Last updated
01/03/2023
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