MEDICARE: MEDFORD VISITING NURSING ASSOCIATION

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	N/A	MA
2	251E00000X	Home Health Agency

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	701916	OTHER	MA	TUFTS PROVIDER NUMBER
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	701033	OTHER	MA	HPHC PROVIDER NUMBER

General Provider Information

NPI Number	:	1972508000
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDFORD VISITING NURSING ASSOCIATION

Provider Business Mailing Address
First Line	:	37 BROADWAY STE 2
Second Line	:
City	:	ARLINGTON
State	:	MA
Zip	:	02474-5552
Country	:	US
Telephone Number	:	781-643-6090
Fax Number	:	781-648-6814

Provider Business Practice Location Address
First Line	:	37 BROADWAY STE 2
Second Line	:
City	:	ARLINGTON
State	:	MA
Zip	:	02474-5552
Country	:	US
Telephone Number	:	781-643-6090
Fax Number	:	781-391-9877

Authorized Official
Title or Position	:	CEO
Name	:	KIM AROUTH
Credential	:	RN
Telephone Number	:	781-643-6090

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	12/02/2025

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