=====================================================
General NPI Number Information
=====================================================
NPI Number | 1336278852
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VISITING NURSE ASSOCIATION OF SOMERSET HILLS HOME HEALTH & HOSPICE S
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/02/2007
-----------------------------------------------------
Last Update Date | 06/04/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 200 MOUNT AIRY RD
-----------------------------------------------------
City | BASKING RIDGE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07920-2313
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 908-766-0180
-----------------------------------------------------
Fax | 908-766-5492
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 200 MOUNT AIRY RD
-----------------------------------------------------
City | BASKING RIDGE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07920-2313
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 908-766-0180
-----------------------------------------------------
Fax | 908-766-5492
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SVP, CHIEF FINANCIAL & ADMIN
-----------------------------------------------------
Name | MR. KEVIN LENAHAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 973-829-4240
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 22251
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------