MEDICARE: VNA HEALTH AT HOME, 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
1	251E00000X	Home Health Agency	C805710	CT

General Provider Information

NPI Number	:	1356466882
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VNA HEALTH AT HOME, INC.

Provider Business Mailing Address
First Line	:	27 SIEMON COMPANY DR
Second Line	:
City	:	WATERTOWN
State	:	CT
Zip	:	06795-2654
Country	:	US
Telephone Number	:	860-274-7531
Fax Number	:	860-274-4173

Provider Business Practice Location Address
First Line	:	27 SIEMON COMPANY DR
Second Line	:
City	:	WATERTOWN
State	:	CT
Zip	:	06795-2654
Country	:	US
Telephone Number	:	860-274-7531
Fax Number	:	860-274-4173

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	ANNMARIE GARRISON
Credential	:	R.N.
Telephone Number	:	860-274-7531

Provider Enumeration Date	:	03/21/2007
Last Update Date	:	08/22/2020

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