BANE HANCOCK PARK, LLC (NPI# 1215384557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215384557 |
| Entity Type | Organization |
| Organization Name | BANE HANCOCK PARK, LLC |
| Other Organization Name | HANCOCK PARK ADULT DAY HEALTH |
| Practice Address |
164 Parkingway Quincy MA 02169-5020 |
| Mailing Address |
52 Accord Park Dr Norwell MA 02061-1628 |
| Practice Telephone | 6177734222 |
| Mailing Telephone | 7818786700 |
| Mailing Fax Number | 7818789807 |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-07-08 |
| Authorized Official Name | MR. HARRISON BANE (VICE PRESIDENT OF OPERATIONS) |
| Authorized Official Telephone | 7818786700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Hancock Park Adult Day Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306293642 | Bane Hancock Park, LLC | Assisted Living Facility | 164 Parkingway, Quincy, MA 02169-5020 | 2016-05-17 |
| 1447614243 | Bane Hancock Park, LLC | Skilled Nursing Facility | 164 Parkingway, Quincy, MA 02169-5020 | 2016-04-07 |
| Street Address |
164 PARKINGWAY |
| City | QUINCY |
| State | MA |
| Zip Code | 02169-5020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548388721 | Melanie Anne Chetwynd | Occupational Therapist | 164 Parkingway, Quincy, MA 02169-5020 | 2007-03-27 |
| 1306293642 | Bane Hancock Park, LLC | Assisted Living Facility | 164 Parkingway, Quincy, MA 02169-5020 | 2016-05-17 |
| 1447614243 | Bane Hancock Park, LLC | Skilled Nursing Facility | 164 Parkingway, Quincy, MA 02169-5020 | 2016-04-07 |
| 1326344250 | Leesa Marie Mclaughlin | Physical Therapy Assistant | 164 Parkingway, Quincy, MA 02169-5020 | 2011-02-10 |
| 1871898510 | Ralph Volpe | Physical Therapist | 164 Parkingway, Quincy, MA 02169-5020 | 2011-01-11 |
| 1851507347 | Hancock Park Limited Partnership | Assisted Living Facility | 164 Parkingway, Quincy, MA 02169 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063887636 | Rainbow Adhc of Quincy LLC | Clinic/Center | 100 Parkingway, Quincy, MA 02169-5058 | 2015-12-08 |
| 1376742429 | The Salvation Army | Clinic/Center | 6 Baxter St, Quincy, MA 02169-6932 | 2007-07-17 |
| 1730208638 | Hancock Park Limited Partnership | Clinic/Center | 164 Parkingway St, Quincy, MA 02169-5020 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841818283 | Active Ma, Inc. | Clinic/Center | 595 Pleasant St, Norwood, MA 02062-4603 | 2020-07-13 |
| 1154949592 | Active Ma, Inc. | Clinic/Center | 725a Myles Standish Blvd, Taunton, MA 02780-7332 | 2020-07-13 |
| 1154954311 | Zdorovie Community Center, Inc | Clinic/Center | 143 California St, Newton, MA 02458-1023 | 2020-02-17 |
| 1639718596 | Vitra Adult Day Health I, LLC | Clinic/Center | 10 N Pearl St, Brockton, MA 02301-1708 | 2019-12-24 |
| 1518504505 | Adult Day Health, Inc. | Clinic/Center | 41 Capital Dr, West Springfield, MA 01089-1344 | 2019-12-09 |
| 1154968451 | Adult Day Health, Inc. | Clinic/Center | 52 Wayside Ave Ste B, West Springfield, MA 01089-1361 | 2019-12-05 |
| 1245889351 | American Adult Daycare of Middlesex Inc | Clinic/Center | 84 Brick Kiln Rd, Chelmsford, MA 01824-3218 | 2019-09-11 |
| 1326690074 | Millennium Home Adult Day Healthcare | Clinic/Center | 5 Lyberty Way, Westford, MA 01886-3617 | 2019-07-12 |
| 1295395077 | Adult Day Health, Inc. | Clinic/Center | 1820 Turnpike St Ste 106, North Andover, MA 01845-6399 | 2019-06-14 |
| 1114587995 | Adult Day Health, Inc. | Clinic/Center | 600 Cummings Ctr Ste 176x, Beverly, MA 01915-6108 | 2019-06-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.