Provider Demographics
NPI:1376672386
Name:VISITING NURSE ASSOCIATION OF SOMERSET HILLS HOME HEALTH & HOSPICE S
Entity Type:Organization
Organization Name:VISITING NURSE ASSOCIATION OF SOMERSET HILLS HOME HEALTH & HOSPICE S
Other - Org Name:VNA SOMERSET HILLS HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SVP, CHIEF FINANCIAL & ADMIN
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LENAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-829-4240
Mailing Address - Street 1:200 MT. AIRY RD.
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-2335
Mailing Address - Country:US
Mailing Address - Phone:908-766-0180
Mailing Address - Fax:908-766-5492
Practice Address - Street 1:200 MT. AIRY RD.
Practice Address - Street 2:
Practice Address - City:BASKING RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07920-2335
Practice Address - Country:US
Practice Address - Phone:908-766-0180
Practice Address - Fax:908-766-5492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22654251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ311528OtherHORIZON BLUE CROSS
NJ311528OtherQUALCARE
NJ550440OtherAETNA HMO
NJA435739OtherOXFORD HEALTH PLANS
NJ0389102Medicaid
NJ311528OtherVETERANS ADMINISTRATION
NJIL7978OtherHEALTHNET OF NORTHEAST
NJ004328OtherAMERIHEALTH
NJ8000161OtherAETNA NON HMO
NJ0389102Medicaid