Healthcare Provider Details

I. General information

NPI: 1891745196
Provider Name (Legal Business Name): VISITING NURSE SERVICES INC. OF SOUTHERN CONNECTICUT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 11/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 SCOTT STREET
HAMDEN CT
06514
US

IV. Provider business mailing address

24 SCOTT STREET
HAMDEN CT
06514
US

V. Phone/Fax

Practice location:
  • Phone: 203-281-5500
  • Fax: 203-287-1203
Mailing address:
  • Phone: 203-281-5500
  • Fax: 203-287-2942

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberC9815510
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: KATHLEEN DANLER
Title or Position: PRESIDENT
Credential:
Phone: 203-281-5500