1336278852 NPI number — VISITING NURSE ASSOCIATION OF SOMERSET HILLS HOME HEALTH & HOSPICE S

Table of content: (NPI 1336278852)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336278852 NPI number — VISITING NURSE ASSOCIATION OF SOMERSET HILLS HOME HEALTH & HOSPICE S

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VISITING NURSE ASSOCIATION OF SOMERSET HILLS HOME HEALTH & HOSPICE S
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:
VNA HOME HEALTH SERVICES
Provider Other Organization Name Type Code:
4
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:
1336278852
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/04/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
200 MOUNT AIRY RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BASKING RIDGE
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07920-2313
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
908-766-0180
Provider Business Mailing Address Fax Number:
908-766-5492

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
200 MOUNT AIRY RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BASKING RIDGE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07920-2313
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-766-0180
Provider Business Practice Location Address Fax Number:
908-766-5492
Provider Enumeration Date:
03/02/2007

Additional Information

Authorized Official

Authorized Official Last Name:
LENAHAN
Authorized Official First Name:
KEVIN
Authorized Official Middle Name:
Authorized Official Title or Position:
SVP, CHIEF FINANCIAL & ADMIN
Authorized Official Telephone Number:
973-829-4240

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  22251 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 01092160 . This is a "AMERIGROUP NJ" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 550440 . This is a "AETNA HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: A435739 . This is a "OXFORD HEALTH PLANS" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 317001VAS . This is a "HORIZON BLUE CROSS OF NJ" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 0004326000 . This is a "AMERIHEALTH" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 317001 . This is a "QUALCARE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 1091613 . This is a "HORIZON NJ HEALTH" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 317001 . This is a "HEALTHFIRST NJ" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 8000161 . This is a "AETNA NON HMO CLAIMS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3687201 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1K8494 . This is a "HEALTHNET OF NORTHEAST" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 100054346301 . This is a "AMERICHOICE OF NEW JERSEY, INC." identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".




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