Provider Demographics
NPI:1407856800
Name:VNA & HOSPICE OF THE SOUTHWEST REGION, INC
Entity Type:Organization
Organization Name:VNA & HOSPICE OF THE SOUTHWEST REGION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:CIOFFI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-770-1544
Mailing Address - Street 1:7 ALBERT CREE DR
Mailing Address - Street 2:
Mailing Address - City:RUTLAND
Mailing Address - State:VT
Mailing Address - Zip Code:05701-4601
Mailing Address - Country:US
Mailing Address - Phone:802-775-0568
Mailing Address - Fax:802-775-2304
Practice Address - Street 1:7 ALBERT CREE DR
Practice Address - Street 2:
Practice Address - City:RUTLAND
Practice Address - State:VT
Practice Address - Zip Code:05701-4601
Practice Address - Country:US
Practice Address - Phone:802-775-0568
Practice Address - Fax:802-775-2304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-28
Last Update Date:2015-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT477007251B00000X, 251E00000X, 251J00000X, 251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No251J00000XAgenciesNursing Care
No251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1005137Medicaid
VT1004949Medicaid
VT047W198Medicaid
VT0477007Medicaid
VT1005137Medicaid