Provider Demographics
NPI:1093714545
Name:KENT COUNTY VISITING NURSE ASSOCIATION
Entity Type:Organization
Organization Name:KENT COUNTY VISITING NURSE ASSOCIATION
Other - Org Name:D/B/A VNA OF CARE NEW ENGLAND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:RN MS
Authorized Official - Phone:401-737-6050
Mailing Address - Street 1:51 HEALTH LN
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-2710
Mailing Address - Country:US
Mailing Address - Phone:401-737-6050
Mailing Address - Fax:401-732-6210
Practice Address - Street 1:51 HEALTH LN
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-2710
Practice Address - Country:US
Practice Address - Phone:401-737-6050
Practice Address - Fax:401-732-6210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-18
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIHSP01601251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI4101505Medicaid
RI411505AMedicare ID - Type UnspecifiedHOSPICE