OrganizationActiveAccepts Medicare
Beth Israel Deaconess Hospital Plymouth, Inc.
NPI 1164535084 · Community Based Hospice Care Agency · Plymouth, MA
Enrolled with Medicare as Part a Provider - Hospice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1164535084
- Entity type
- Organization
- Primary specialty
- Community Based Hospice Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jason Radzevich, V.p. of Finance and Cfo(508) 830-2005
- License
- 7221 (MA)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
36 Cordage Park Cir
Suite 326
Plymouth, MA 02360-7331
Phone: (508) 746-0215
Fax: (508) 830-3336
Street-level locationGet directions
Mailing address
275 Sandwich St
Plymouth, MA 02360-2183
Other names (DBA / former)
- Doing business as
- Cranberry Hospice
- Doing business as
- Cranberry Hospice
Registry dates
- Enumerated
- 2006-08-16
- Last updated
- 2021-03-23
- Certified
- 2021-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.