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NPI Code Detail

MEDICARE: VNA HOSPICE CARE INC.

MEDICARE: VNA HOSPICE CARE INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251G00000XCommunity Based Hospice Care Agency7202MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225031032
Entity Type Code : Organization
Provider Name (Legal Business Name) : VNA HOSPICE CARE INC.
Provider Business Mailing Address
First Line : 100 SYLVAN RD
Second Line : STE G500
City : WOBURN
State : MA
Zip : 01801-1851
Country : US
Telephone Number : 781-569-2888
Fax Number : 781-569-2888
Provider Business Practice Location Address
First Line : 100 SYLVAN RD
Second Line : STE G500
City : WOBURN
State : MA
Zip : 01801-1851
Country : US
Telephone Number : 781-569-2888
Fax Number : 781-569-2877
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MS. DIANE M. BERGERON
Credential : RN, MSM
Telephone Number : 781-569-2888
Provider Enumeration Date : 05/24/2005
Last Update Date : 12/24/2007

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Directions to “VNA HOSPICE CARE INC. ” Practice Location

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