Healthcare Provider Details

I. General information

NPI: 1376672386
Provider Name (Legal Business Name): VISITING NURSE ASSOCIATION OF SOMERSET HILLS HOME HEALTH & HOSPICE S
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 06/08/2020
Certification Date: 06/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MT. AIRY RD.
BASKING RIDGE NJ
07920-2335
US

IV. Provider business mailing address

200 MT. AIRY RD.
BASKING RIDGE NJ
07920-2335
US

V. Phone/Fax

Practice location:
  • Phone: 908-766-0180
  • Fax: 908-766-5492
Mailing address:
  • Phone: 908-766-0180
  • Fax: 908-766-5492

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number22654
License Number StateNJ

VIII. Authorized Official

Name: MR. KEVIN LENAHAN
Title or Position: SVP, CHIEF FINANCIAL & ADMIN
Credential:
Phone: 973-829-4240