Provider Demographics
NPI:1407806631
Name:HOPEHEALTH COMMUNITY VISITING NURSE AGENCY, INC.
Entity Type:Organization
Organization Name:HOPEHEALTH COMMUNITY VISITING NURSE AGENCY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADOZINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:KANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-585-8875
Mailing Address - Street 1:10 EMORY ST
Mailing Address - Street 2:
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-3002
Mailing Address - Country:US
Mailing Address - Phone:508-222-0118
Mailing Address - Fax:508-226-1012
Practice Address - Street 1:10 EMORY ST
Practice Address - Street 2:
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-3002
Practice Address - Country:US
Practice Address - Phone:508-222-0118
Practice Address - Fax:508-226-1012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0699381Medicaid
MA0605107Medicaid
MA0605107Medicaid
MA0699381Medicaid