Provider Demographics
NPI:1780689521
Name:AUBURN VNA HEALTH NETWORK, INC.
Entity Type:Organization
Organization Name:AUBURN VNA HEALTH NETWORK, INC.
Other - Org Name:AUBURN VNA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:HARMON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:508-791-0081
Mailing Address - Street 1:191 PAKACHOAG ST.
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01501
Mailing Address - Country:US
Mailing Address - Phone:508-791-0081
Mailing Address - Fax:508-791-0155
Practice Address - Street 1:191 PAKACHOAG ST.
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501
Practice Address - Country:US
Practice Address - Phone:508-791-0081
Practice Address - Fax:508-791-0155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-17
Last Update Date:2012-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA701039OtherHARVARD PILGRIM PROVIDER
MA0600636Medicaid
MA802026OtherTUFTS PROVIDER NUMBER
MA120179OtherBCBS PROVIDER NUMBER
MA0600636Medicaid