1548312705 NPI number — VNA HOME HEALTH & HOSPICE SERVICES, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548312705 NPI number — VNA HOME HEALTH & HOSPICE SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VNA HOME HEALTH & HOSPICE SERVICES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548312705
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/26/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1070 HOLT AVE
Provider Second Line Business Mailing Address:
SUITE 1400
Provider Business Mailing Address City Name:
MANCHESTER
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03109-5603
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-622-3781
Provider Business Mailing Address Fax Number:
603-641-4074

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1070 HOLT AVE
Provider Second Line Business Practice Location Address:
SUITE 1400
Provider Business Practice Location Address City Name:
MANCHESTER
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03109-5603
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-622-3781
Provider Business Practice Location Address Fax Number:
603-641-4074
Provider Enumeration Date:
01/17/2007

Additional Information

Authorized Official

Authorized Official Last Name:
FRIZZELL
Authorized Official First Name:
DONNA
Authorized Official Middle Name:
M
Authorized Official Title or Position:
DIRECTOR OF HOME CARE AND COMMUNITY
Authorized Official Telephone Number:
603-663-4029

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  01916 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251E00000X , with the licence number: 03231 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251E00000X , with the licence number: 03812 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3080978 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 307003 . This is a "ANTHEM BC PROVIDER NO" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 0605940 . This is a "AETNA PROVIDER NO" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 3086189 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 702192 . This is a "HARVARD PILGRIM HEALTH PL" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".




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