Provider Demographics
NPI:1578743621
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:CEO
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:802-770-1543
Mailing Address - Street 1:7 ALBERT CREE DRIVE
Mailing Address - Street 2:
Mailing Address - City:RUTLAND
Mailing Address - State:VT
Mailing Address - Zip Code:05702-0787
Mailing Address - Country:US
Mailing Address - Phone:802-775-0568
Mailing Address - Fax:802-775-2304
Practice Address - Street 1:7 ALBERT CREE DRIVE
Practice Address - Street 2:
Practice Address - City:RUTLAND
Practice Address - State:VT
Practice Address - Zip Code:05702-0787
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:2007-11-06
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT477007251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT477007Medicare Oscar/Certification