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

Table of content: (NPI 1548312705)

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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