Provider Demographics
NPI:1407136815
Name:HOME VISITING NURSES INCORPORATED
Entity Type:Organization
Organization Name:HOME VISITING NURSES INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUYIDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-500-8144
Mailing Address - Street 1:705 CAMBRIDGE STREET 2ND FLR
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02141-1460
Mailing Address - Country:US
Mailing Address - Phone:617-500-8144
Mailing Address - Fax:617-500-8146
Practice Address - Street 1:705 CAMBRIDGE STREET 2ND FLR
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02141-1460
Practice Address - Country:US
Practice Address - Phone:617-500-8144
Practice Address - Fax:617-500-8146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-17
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health