1992962948 NPI number — VISITING NURSE ASSOCIATION OF WALLINGFORD INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992962948 NPI number — VISITING NURSE ASSOCIATION OF WALLINGFORD INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VISITING NURSE ASSOCIATION OF WALLINGFORD 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:
1992962948
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/19/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
135 N PLAINS INDUSTRIAL RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WALLINGFORD
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06492-2332
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
203-269-1475
Provider Business Mailing Address Fax Number:
203-265-5357

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
135 N PLAINS INDUSTRIAL RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WALLINGFORD
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06492-2332
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-269-1475
Provider Business Practice Location Address Fax Number:
203-265-5357
Provider Enumeration Date:
05/19/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
PHILLIPS
Authorized Official First Name:
ELLEN
Authorized Official Middle Name:
S
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
203-269-1475

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X , with the licence number:  0605 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 4042800 , issued by the state of ( CT ) . This identifiers is of the category "MEDICAID".