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NPI Code Detail

MEDICARE: NOBLE VISITING NURSE AND HOSPICE SERVICES, INC.

MEDICARE: NOBLE VISITING NURSE AND HOSPICE SERVICES, 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
1251E00000XHome Health Agency
2251G00000XCommunity Based Hospice Care Agency7Q9EMA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861594079
Entity Type Code : Organization
Provider Name (Legal Business Name) : NOBLE VISITING NURSE AND HOSPICE SERVICES, INC.
Provider Business Mailing Address
First Line : 77 MILL ST
Second Line : SUITE 201
City : WESTFIELD
State : MA
Zip : 01085-4598
Country : US
Telephone Number : 413-562-7049
Fax Number : 413-568-9434
Provider Business Practice Location Address
First Line : 77 MILL ST
Second Line : SUITE 201
City : WESTFIELD
State : MA
Zip : 01085-4598
Country : US
Telephone Number : 413-562-7049
Fax Number : 413-568-9434
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. DAVID M. MOL
Credential :
Telephone Number : 413-562-7049
Provider Enumeration Date : 09/01/2006
Last Update Date : 02/03/2010

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