Provider Demographics
NPI:1922176304
Name:VNA AT HCS, INC
Entity Type:Organization
Organization Name:VNA AT HCS, INC
Other - Org Name:HOSPICE AT HCS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:MICHELIZZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-352-2253
Mailing Address - Street 1:PO BOX 564
Mailing Address - Street 2:312 MARLBORO ST
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431
Mailing Address - Country:US
Mailing Address - Phone:603-352-2253
Mailing Address - Fax:603-352-3904
Practice Address - Street 1:312 MARLBORO ST
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-4163
Practice Address - Country:US
Practice Address - Phone:603-352-2253
Practice Address - Fax:603-358-3904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH02915251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30-1503Medicare ID - Type UnspecifiedMEDICARE HOSPICE PROVIDER