1437139664 NPI number — VISITING NURSE ASSOCIATION AND HOSPICE OF WESTERN NEW ENGLAND, INC.

Table of content: (NPI 1437139664)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437139664 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:
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:
1437139664
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/27/2019
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:
01/23/2006

Additional Information

Authorized Official

Authorized Official Last Name:
DEGEN
Authorized Official First Name:
MARTIN
Authorized Official Middle Name:
JOSEPH
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
413-795-0215

Provider Taxonomy Codes

  • Taxonomy code: 251G00000X , with the licence number:  7219 , 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: 17494 . This is a "HEALTH NEW ENGLAND" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 6000021 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 0605140 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 805737 . This is a "TUFTS HEALTH PLAN" 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: 221521 . This is a "BCBS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com