1861594079 NPI number — NOBLE VISITING NURSE AND HOSPICE SERVICES, INC.

Table of content: (NPI 1861594079)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861594079 NPI number — NOBLE VISITING NURSE AND HOSPICE SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NOBLE VISITING NURSE AND 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:
1861594079
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/03/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
77 MILL ST
Provider Second Line Business Mailing Address:
SUITE 201
Provider Business Mailing Address City Name:
WESTFIELD
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01085-4598
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
413-562-7049
Provider Business Mailing Address Fax Number:
413-568-9434

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
77 MILL ST
Provider Second Line Business Practice Location Address:
SUITE 201
Provider Business Practice Location Address City Name:
WESTFIELD
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01085-4598
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-562-7049
Provider Business Practice Location Address Fax Number:
413-568-9434
Provider Enumeration Date:
09/01/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MOL
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
M.
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
413-562-7049

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251G00000X , with the licence number: 7Q9E , 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: 110024332A , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 110024332B , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com