Provider Demographics
NPI:1841227295
Name:CONCORD REGIONAL VISITING NURSE ASSOCIATION, INC.
Entity Type:Organization
Organization Name:CONCORD REGIONAL VISITING NURSE ASSOCIATION, INC.
Other - Org Name:CENTRAL NH VNA & HOSPICE INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIRECTOR OF COMPLIANCE
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:NASH
Authorized Official - Suffix:
Authorized Official - Credentials:MSM
Authorized Official - Phone:603-224-4093
Mailing Address - Street 1:780 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LACONIA
Mailing Address - State:NH
Mailing Address - Zip Code:03246-2756
Mailing Address - Country:US
Mailing Address - Phone:603-524-8444
Mailing Address - Fax:603-524-8217
Practice Address - Street 1:780 N MAIN ST
Practice Address - Street 2:
Practice Address - City:LACONIA
Practice Address - State:NH
Practice Address - Zip Code:03246-2756
Practice Address - Country:US
Practice Address - Phone:603-224-4093
Practice Address - Fax:603-524-8217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-28
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH01984251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH80307043Medicaid
NH80307043Medicaid