Provider Demographics
NPI:1649258278
Name:VISITING NURSE ASSOCIATION OF CAPE COD, INC.
Entity type:Organization
Organization Name:VISITING NURSE ASSOCIATION OF CAPE COD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AR MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:YONKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-957-7410
Mailing Address - Street 1:434 ROUTE 134
Mailing Address - Street 2:
Mailing Address - City:SOUTH DENNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02660-3433
Mailing Address - Country:US
Mailing Address - Phone:508-957-7400
Mailing Address - Fax:508-771-4016
Practice Address - Street 1:434 ROUTE 134
Practice Address - Street 2:SUITE 1, BLDG G
Practice Address - City:SOUTH DENNIS
Practice Address - State:MA
Practice Address - Zip Code:02660-3433
Practice Address - Country:US
Practice Address - Phone:508-957-7400
Practice Address - Fax:508-771-4016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-04
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA227067251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0600652Medicaid
MA120067OtherBCBS PROVIDER #
MA702149OtherHPHC PROVIDER NUMBER
MA0600652Medicaid