Provider Demographics
NPI:1790788743
Name:CHICOPEE VISITING NURSE ASSOCIATION
Entity Type:Organization
Organization Name:CHICOPEE VISITING NURSE ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:A
Authorized Official - Last Name:COTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-437-9862
Mailing Address - Street 1:2024 WESTOVER RD
Mailing Address - Street 2:
Mailing Address - City:CHICOPEE
Mailing Address - State:MA
Mailing Address - Zip Code:01022-1079
Mailing Address - Country:US
Mailing Address - Phone:413-437-9862
Mailing Address - Fax:413-437-9999
Practice Address - Street 1:2024 WESTOVER RD
Practice Address - Street 2:
Practice Address - City:CHICOPEE
Practice Address - State:MA
Practice Address - Zip Code:01022-1079
Practice Address - Country:US
Practice Address - Phone:413-437-9862
Practice Address - Fax:413-437-9999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-23
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251E00000X251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA602130OtherAETNA PROV. NUMBER
MA11250OtherHEALTH NEW ENGLAND
MA701028OtherHARVARD PILGRIM PROV#
MA120028OtherBLUE CROSS BLUE SHIELD
MA801107OtherTUFTS/SEC HORIZONS
MA110024183AMedicaid
MA602130OtherAETNA PROV. NUMBER