=====================================================
General NPI Number Information
=====================================================
NPI Number | 1639649304
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FAITH AND FAMILY HOSPICE, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/26/2018
-----------------------------------------------------
Last Update Date | 12/09/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 400 DONALD LYNCH BLVD STE 104
-----------------------------------------------------
City | MARLBOROUGH
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01752-4733
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 508-485-4555
-----------------------------------------------------
Fax | 508-597-7304
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 420 LAKESIDE AVENUE STE. 203
-----------------------------------------------------
City | MARLBOROUGH
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01752-4571
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 508-485-4555
-----------------------------------------------------
Fax | 508-597-7304
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE DIRECTOR
-----------------------------------------------------
Name | MR. PETER H CARNEY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 508-485-4555
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251G00000X
-----------------------------------------------------
Taxonomy Name | Community Based Hospice Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------