Healthcare Provider Details

I. General information

NPI: 1285659052
Provider Name (Legal Business Name): VISITING NURSE AND COMMUNITY HEALTH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 06/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 BROADWAY
ARLINGTON MA
02474
US

IV. Provider business mailing address

37 BROADWAY
ARLINGTON MA
02474-5552
US

V. Phone/Fax

Practice location:
  • Phone: 781-643-6090
  • Fax:
Mailing address:
  • Phone: 781-643-6090
  • Fax: 781-643-7395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINE DIXON
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: RN BSN MMHC
Phone: 781-643-6090