MEDICARE: VNA HOME HEALTH & HOSPICE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency	36440	ME

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578683280
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VNA HOME HEALTH & HOSPICE

Provider Business Mailing Address
First Line	:	225 GORHAM RD STE 200
Second Line	:
City	:	SOUTH PORTLAND
State	:	ME
Zip	:	04106-2462
Country	:	US
Telephone Number	:	800-757-3326
Fax Number	:	207-400-8891

Provider Business Practice Location Address
First Line	:	225 GORHAM RD STE 200
Second Line	:
City	:	SOUTH PORTLAND
State	:	ME
Zip	:	04106-2462
Country	:	US
Telephone Number	:	800-757-3326
Fax Number	:	207-400-8891

Authorized Official
Title or Position	:	VP, FINANCE
Name	:	MR. DAVID KENNEDY
Credential	:
Telephone Number	:	207-879-3363

Provider Enumeration Date	:	03/29/2007
Last Update Date	:	03/24/2026

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Practice Location Address:

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1255900015 — BRIANNA LEE KAULBACH PTA
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Directions to “VNA HOME HEALTH & HOSPICE ” Practice Location

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