Healthcare Provider Details
I. General information
NPI: 1548486012
Provider Name (Legal Business Name): VISITING NURSE ASSOCIATION AND HOSPICE OF VERMONT AND NEW HAMPSHIRE,
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/17/2007
Last Update Date: 05/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
88 PROSPECT ST
WHITE RIVER JUNCTION VT
05001-7036
US
IV. Provider business mailing address
PO BOX 1339 205 BILLINGS FARM RD BUILDING #5
WHITE RIVER JUNCTION VT
05001-5405
US
V. Phone/Fax
- Phone: 888-300-8853
- Fax: 603-298-3389
- Phone: 888-300-8853
- Fax: 603-298-3389
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | 03103 |
| License Number State | NH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | 03103 |
| License Number State | NH |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251G00000X |
| Taxonomy | Community Based Hospice Care Agency |
| License Number | 03104 |
| License Number State | NH |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | 03103 |
| License Number State | NH |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251K00000X |
| Taxonomy | Public Health or Welfare Agency |
| License Number | 03103 |
| License Number State | NH |
| # 6 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | NH |
VIII. Authorized Official
Name:
GERRY
BEST
Title or Position: DIRECTOR, REVENUE CYCLE
Credential:
Phone: 888-300-8853