MEDICARE: VISITING NURSE ASSOCIATION OF CAPE COD, 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	227067	MA

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	120067	OTHER	MA	BCBS PROVIDER #
3	702149	OTHER	MA	HPHC PROVIDER NUMBER

General Provider Information

NPI Number	:	1649258278
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISITING NURSE ASSOCIATION OF CAPE COD, INC.

Provider Business Mailing Address
First Line	:	434 ROUTE 134
Second Line	:
City	:	SOUTH DENNIS
State	:	MA
Zip	:	02660-3433
Country	:	US
Telephone Number	:	508-957-7400
Fax Number	:	508-771-4016

Provider Business Practice Location Address
First Line	:	434 ROUTE 134
Second Line	:	SUITE 1, BLDG G
City	:	SOUTH DENNIS
State	:	MA
Zip	:	02660-3433
Country	:	US
Telephone Number	:	508-957-7400
Fax Number	:	508-771-4016

Authorized Official
Title or Position	:	AR MANAGER
Name	:	BRIAN YONKER
Credential	:
Telephone Number	:	508-957-7410

Provider Enumeration Date	:	01/04/2006
Last Update Date	:	12/06/2023

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