Provider Demographics
NPI:1942327796
Name:VISITING NURSE ASSOCIATION AND HOSPICE OF VERMONT AND NEW HAMPSHIRE, I
Entity Type:Organization
Organization Name:VISITING NURSE ASSOCIATION AND HOSPICE OF VERMONT AND NEW HAMPSHIRE, I
Other - Org Name:VNH-VISITING NURSE AND HOSPICE OF VERMONT AND NEW HAMPSHIRE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTO
Authorized Official - Prefix:
Authorized Official - First Name:GERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:BEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-298-2855
Mailing Address - Street 1:PO BOX 1339, 205 BILLINGS FARM RD
Mailing Address - Street 2:BUILDING #5
Mailing Address - City:WHITE RIVER JUCTION
Mailing Address - State:VT
Mailing Address - Zip Code:05001-5405
Mailing Address - Country:US
Mailing Address - Phone:888-300-8853
Mailing Address - Fax:603-298-3389
Practice Address - Street 1:88 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:WHITE RIVER JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05001-7036
Practice Address - Country:US
Practice Address - Phone:888-300-8853
Practice Address - Fax:603-298-3389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2019-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH03103251B00000X, 251E00000X, 251J00000X, 251K00000X
NH251E00000X
NH03104251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care
No251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3076589Medicaid
477001OtherBCBS HOSPICE
VT1005277Medicaid
800577OtherANTHEM BCBS
VT1004590Medicaid
800577OtherCOMMERCIAL
VT047701Medicaid
VT1004967Medicaid
NH3079798Medicaid
VT0471506Medicaid
NH3073407Medicaid
VT477001Medicaid
NH3005169Medicaid
VT477001OtherVERMONT
VT047W017Medicaid
NH3004280Medicaid
NH3073407Medicaid
NH3076589Medicaid