1104897735 NPI number — VISITING NURSE ASSOCIATION AND HOSPICE OF WESTERN NEW ENGLAND, INC.

Table of content: ALEXANDRA HERNANDEZ PEREZ MD (NPI 1255025144)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1104897735 NPI number — VISITING NURSE ASSOCIATION AND HOSPICE OF WESTERN NEW ENGLAND, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VISITING NURSE ASSOCIATION AND HOSPICE OF WESTERN NEW ENGLAND, 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:
6
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:
1104897735
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/02/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
30 CAPITAL DR STE A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WEST SPRINGFIELD
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01089-1359
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
413-794-6411
Provider Business Mailing Address Fax Number:
413-794-6476

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
30 CAPITAL DR STE A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WEST SPRINGFIELD
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01089-1359
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-794-6411
Provider Business Practice Location Address Fax Number:
413-794-6476
Provider Enumeration Date:
01/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MCLEOD
Authorized Official First Name:
CHARLOTTE
Authorized Official Middle Name:
DESHA
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
828-754-0101

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  N/A , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 600911 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: S005357 . This is a "CHAMPUS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 702030 . This is a "HARVARD PILGRIM" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 120011 . This is a "HMO BLUE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 120011 . This is a "BC/BS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 000000005549 . This is a "HEALTHNET" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 17494 . This is a "HEALTH NEW ENGLAND" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 801080 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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