Healthcare Provider Details

I. General information

NPI: 1427051598
Provider Name (Legal Business Name): VISITING NURSE ASSOCIATION OF BOSTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2005
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 MOUNT VERNON ST
DORCHESTER MA
02125-3125
US

IV. Provider business mailing address

67 MILLBROOK STREET 500 NORTH
WORCESTER MA
01606-2835
US

V. Phone/Fax

Practice location:
  • Phone: 800-521-5539
  • Fax: 774-312-2249
Mailing address:
  • Phone: 800-521-5539
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number227068
License Number StateMA

VIII. Authorized Official

Name: STEPHEN GUT
Title or Position: CFO
Credential:
Phone: 508-661-9593