Healthcare Provider Details

I. General information

NPI: 1366420861
Provider Name (Legal Business Name): VISITING NURSE ASSOCIATION OF CAPE COD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2006
Last Update Date: 12/06/2023
Certification Date: 12/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 COMMUNICATION WAY
HYANNIS MA
02601-8137
US

IV. Provider business mailing address

25 COMMUNICATION WAY
HYANNIS MA
02601-8137
US

V. Phone/Fax

Practice location:
  • Phone: 508-957-7400
  • Fax: 508-771-4016
Mailing address:
  • Phone: 508-957-7400
  • Fax: 508-771-4016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number221554
License Number StateMA

VIII. Authorized Official

Name: BRIAN YONKER
Title or Position: AR MANAGER
Credential:
Phone: 508-957-7410