Healthcare Provider Details

I. General information

NPI: 1477640324
Provider Name (Legal Business Name): VISITING NURSE ASSOCIATION OF CAPE COD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 08/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

290 ROUTE 130
SANDWICH MA
02563
US

IV. Provider business mailing address

255 INDEPENDENCE DRIVE
HYANNIS MA
02601
US

V. Phone/Fax

Practice location:
  • Phone: 508-833-0223
  • Fax: 508-833-4643
Mailing address:
  • Phone: 509-957-7410
  • Fax: 508-771-4016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251T00000X
TaxonomyPACE Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: MS. KAREN ALDEN
Title or Position: EXECUTIVE ASSISTANT
Credential:
Phone: 508-957-7400