Provider Demographics
NPI:1972587699
Name:VISITING NURSE SERVICES OF NEWPORT AND BRISTOL COUNTIES
Entity Type:Organization
Organization Name:VISITING NURSE SERVICES OF NEWPORT AND BRISTOL COUNTIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CANDACE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARKEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN MS
Authorized Official - Phone:401-682-2100
Mailing Address - Street 1:1184 E MAIN RD
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:RI
Mailing Address - Zip Code:02871-2333
Mailing Address - Country:US
Mailing Address - Phone:401-682-2100
Mailing Address - Fax:401-682-2111
Practice Address - Street 1:1184 E MAIN RD
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:RI
Practice Address - Zip Code:02871-2333
Practice Address - Country:US
Practice Address - Phone:401-682-2100
Practice Address - Fax:401-682-2111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-06
Last Update Date:2015-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIHNC02201251E00000X, 251J00000X, 332B00000X
RIHSP01603251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
VN83219OtherKATIE BECKET WAIVER
401104OtherBLUE CHIP
VN41607OtherMEDICAID HEALTHWATCH
4101506OtherMEDICAID HOSPICE
VN25611OtherMEDICAID WAIVER
5801-0OtherBLUE CROSS BLUE SHIELD
RI4107000Medicaid
RI417000Medicare Oscar/Certification
RI411506Medicare Oscar/Certification