Healthcare Provider Details

I. General information

NPI: 1396744173
Provider Name (Legal Business Name): VNA TECHNICARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2005
Last Update Date: 09/19/2024
Certification Date: 09/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 CORLISS ST UNIT 2
PROVIDENCE RI
02904-2602
US

IV. Provider business mailing address

225 CAROLINA AVE
PROVIDENCE RI
02905-4505
US

V. Phone/Fax

Practice location:
  • Phone: 401-335-9000
  • Fax: 401-335-9078
Mailing address:
  • Phone: 401-335-9000
  • Fax: 401-335-9078

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code332100000X
TaxonomyDepartment of Veterans Affairs (VA) Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. PETER K MARKELL
Title or Position: EVP & CFO
Credential:
Phone: 401-444-7093