MEDICARE: MEDFORD VISITING NURSING ASSOCIATION

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

General Provider Information

NPI Number	:	1699948166
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDFORD VISITING NURSING ASSOCIATION

Provider Business Mailing Address
First Line	:	37 BROADWAY
Second Line	:
City	:	ARLINGTON
State	:	MA
Zip	:	02474-5552
Country	:	US
Telephone Number	:	781-643-6090
Fax Number	:	781-643-7395

Provider Business Practice Location Address
First Line	:	37 BROADWAY
Second Line	:
City	:	ARLINGTON
State	:	MA
Zip	:	02474-5552
Country	:	US
Telephone Number	:	781-643-6090
Fax Number	:	781-643-7395

Authorized Official
Title or Position	:	CEO
Name	:	KIM AROUTH
Credential	:	RN
Telephone Number	:	781-350-5610

Provider Enumeration Date	:	04/07/2008
Last Update Date	:	12/02/2025

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