Provider Demographics
NPI:1598448144
Name:VISITING NURSE ASSN OF EASTERN MASS
Entity Type:Organization
Organization Name:VISITING NURSE ASSN OF EASTERN MASS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:S
Authorized Official - Last Name:CORNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-718-2200
Mailing Address - Street 1:259 LOWELL ST
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02144-2666
Mailing Address - Country:US
Mailing Address - Phone:617-699-9680
Mailing Address - Fax:
Practice Address - Street 1:405 ALEWIFE BROOK PKWY
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02144-1132
Practice Address - Country:US
Practice Address - Phone:617-699-9680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-10
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care