MEDICARE: VNA CARE ADVANTAGE INC.

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	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1982634325
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VNA CARE ADVANTAGE INC.

Provider Business Mailing Address
First Line	:	120 THOMAS ST
Second Line	:
City	:	WORCESTER
State	:	MA
Zip	:	01608-1223
Country	:	US
Telephone Number	:	508-786-0696
Fax Number	:	508-786-1990

Provider Business Practice Location Address
First Line	:	120 THOMAS ST
Second Line	:
City	:	WORCESTER
State	:	MA
Zip	:	01608-1223
Country	:	US
Telephone Number	:	508-786-0696
Fax Number	:	508-786-1990

Authorized Official
Title or Position	:	VP OF FINANCE/CFO
Name	:	MS. JOANNE KRAMER
Credential	:	CPA
Telephone Number	:	507-786-0693

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	08/22/2020

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