ERICKSON LIVING HEALTH SERVICES (ERICKSON LIVING HEALTH SERVICES, LLC) NPI 1013134055

Hospice Care, Community Based in Hingham, MA

NPI 1013134055 Organization Hospice Care, Community Based

About ERICKSON LIVING HEALTH SERVICES (ERICKSON LIVING HEALTH SERVICES, LLC)

Erickson Living Health Services (erickson Living Health Services, Llc) is a provider established in Hingham, Massachusetts specializing in hospice care, community based. The NPI number of Erickson Living Health Services (erickson Living Health Services, Llc) is 1013134055 and was assigned on April 2007. The practitioner's primary taxonomy code is 251G00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Erickson Living Health Services. The authorized official of this NPI record is Jonathan A Garber (Vice President)

NPI

1013134055

Provider NameERICKSON LIVING HEALTH SERVICES (ERICKSON LIVING HEALTH SERVICES, LLC)
Provider Location Address203 LINDEN PONDS WAY ATTN: HOSPICE ADMINISTRATOR HINGHAM, MA 02043
Provider Mailing Address300 LINDEN PONDS WAY ATTN: EXECUTIVE DIRECTOR HINGHAM, MA 02043
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameERICKSON LIVING HEALTH SERVICES
Other Name TypeDoing Business As (3)
Enumeration Date04-19-2007
Last Update Date05-06-2015


Primary Taxonomy

Taxonomy Code251G00000X
ClassificationHospice Care, Community Based
TypeAgencies

Business Address

ERICKSON LIVING HEALTH SERVICES
203 LINDEN PONDS WAY
ATTN: HOSPICE ADMINISTRATOR
HINGHAM, MA
ZIP 02043
Phone: (781) 534-7140
Fax: (410) 204-7237

Get Directions


Mailing Address

ERICKSON LIVING HEALTH SERVICES
300 LINDEN PONDS WAY
ATTN: EXECUTIVE DIRECTOR
HINGHAM, MA
ZIP 02043
Phone: (781) 534-7140
Fax: (410) 204-7237



Authorized Official

Authorized Official Name JONATHAN A GARBER
Authorized Official TitleVICE PRESIDENT
Authorized Official Phone(410) 402-2323

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
221598MEDICARE OSCAR/CERTIFICATION (06)MA

Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1538410964MRS. DASIA LYNN LARUSSO P.T.
Individual
Physical Therapist203 LINDEN PONDS WAY
HINGHAM, MA 02043
(781) 534-7160
1942407671MAIN STREET PHARMACY, LLC
Organization
Pharmacy203 LINDEN PONDS WAY
HINGHAM, MA 02043
(781) 534-7270
1124506167 MEREDITH A. SCOTT LICSW
Individual
Social Worker (Clinical)203 LINDEN PONDS WAY
HINGHAM, MA 02043
(781) 534-7274
1801379268 TERRI HOITT LICSW
Individual
Social Worker (Clinical)203 LINDEN PONDS WAY
HINGHAM, MA 02043
(781) 534-7123
1023612041DR. DIONISIA KATSAROS PHARMD
Individual
Pharmacist203 LINDEN PONDS WAY
HINGHAM, MA 02043
(781) 534-7270
1467056499DR. KENDALYN TAYLOR THOMPSON PHARMD
Individual
Pharmacist203 LINDEN PONDS WAY
HINGHAM, MA 02043
(781) 534-7170

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.