MEDICARE: VISITING NURSE HOME CARE & HOSPICE OF CARROLL COUNTY

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	02737	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	307020	OTHER	NH	ANTHEM BCBS PROVIDER #
4	307020	OTHER	NH	PTAN

General Provider Information

NPI Number	:	1649222357
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISITING NURSE HOME CARE & HOSPICE OF CARROLL COUNTY

Provider Business Mailing Address
First Line	:	PO BOX 432
Second Line	:
City	:	NORTH CONWAY
State	:	NH
Zip	:	03860-0432
Country	:	US
Telephone Number	:	603-356-7006
Fax Number	:	603-356-8134

Provider Business Practice Location Address
First Line	:	1529 WHITE MOUNTAIN HIGHWAY
Second Line	:
City	:	NORTH CONWAY
State	:	NH
Zip	:	03860-5355
Country	:	US
Telephone Number	:	603-356-7006
Fax Number	:	603-356-8134

Authorized Official
Title or Position	:	AGENCY DIRECTOR
Name	:	MS. SANDRA L RUKA
Credential	:	R.N.
Telephone Number	:	603-356-7006

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	09/03/2013

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Directions to “VISITING NURSE HOME CARE & HOSPICE OF CARROLL COUNTY ” Practice Location

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