Provider Demographics
NPI:1043398498
Name:NORWELL VISITING NURSE ASSOCIATION INC
Entity Type:Organization
Organization Name:NORWELL VISITING NURSE ASSOCIATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCINNES
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:781-610-1435
Mailing Address - Street 1:120 LONGWATER DRIVE
Mailing Address - Street 2:
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061
Mailing Address - Country:US
Mailing Address - Phone:781-659-2342
Mailing Address - Fax:781-659-0150
Practice Address - Street 1:120 LONGWATER DR STE 200
Practice Address - Street 2:
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-1653
Practice Address - Country:US
Practice Address - Phone:781-659-2342
Practice Address - Fax:781-659-0150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0007818OtherNEIGHBORHOOD HEALTH PLAN
MA7200033OtherEVERCARE
MA800879OtherTUFTS HEALTH PLAN
MA19907OtherFALLON COMMUNITY HEALTH
MA0604097Medicaid
MA120241OtherBLUE CROSS BLUE SHIELD MA
MA700524OtherHARVARD PILGRIM HEALTH CA
MA7200033OtherEVERCARE