1427051598 NPI number — VISITING NURSE ASSOCIATION OF BOSTON

Table of content: (NPI 1427051598)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427051598 NPI number — VISITING NURSE ASSOCIATION OF BOSTON

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VISITING NURSE ASSOCIATION OF BOSTON
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:
1427051598
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/30/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
67 MILLBROOK STREET
Provider Second Line Business Mailing Address:
500 NORTH
Provider Business Mailing Address City Name:
WORCESTER
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01606-2835
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-521-5539
Provider Business Mailing Address Fax Number:
508-751-6875

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
97 LIBBEY INDUSTRIAL PARKWAY
Provider Second Line Business Practice Location Address:
SUITE 301
Provider Business Practice Location Address City Name:
WEYMOUTH
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02189-3110
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-521-5539
Provider Business Practice Location Address Fax Number:
508-786-1990
Provider Enumeration Date:
05/23/2005

Additional Information

Authorized Official

Authorized Official Last Name:
ROSE
Authorized Official First Name:
TODD
Authorized Official Middle Name:
D
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
508-573-8092

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  227068 , 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: 110024172B , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com