Provider Demographics
NPI:1801990452
Name:SOUTHCOAST VISITING NURSE ASSOCIATION, INC
Entity type:Organization
Organization Name:SOUTHCOAST VISITING NURSE ASSOCIATION, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUIOCCHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-973-3200
Mailing Address - Street 1:200 MILL ROAD, SUITE 120
Mailing Address - Street 2:
Mailing Address - City:FAIRHAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02719
Mailing Address - Country:US
Mailing Address - Phone:508-973-3210
Mailing Address - Fax:508-973-3215
Practice Address - Street 1:200 MILL ROAD, SUITE 120
Practice Address - Street 2:
Practice Address - City:FAIRHAVEN
Practice Address - State:MA
Practice Address - Zip Code:02719
Practice Address - Country:US
Practice Address - Phone:508-973-3210
Practice Address - Fax:508-973-3215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-12
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI1612251G00000X
MA7223251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA000000021841OtherBMC HEALTHNET
RI5813-1OtherRI BLUE CROSS/BLUE SHIELD
MA805736OtherTUFT'S HEALTH PLAN
MA0605492Medicaid
MA6001001OtherUNITED HEALTH CARE
MA0469887OtherAETNA US HEALTH
MA700288OtherHARVARD PILGRIM HEALTH CA
RIVN26573Medicaid
MA003493OtherSENIOR WHOLE HEALTH
RI6001001OtherUNITED HEALTH CARE
MA0605492OtherBRISTOL ELDER SERVICES
MA221536OtherBLUE CROSS/BLUE SHIELD
RI700288OtherHARVARD PILGRIM HEALTH CA
RI0469887OtherAETNA US HEALTH
RI805736OtherTUFT'S HEALTH PLAN
MA221536OtherBLUE CROSS/BLUE SHIELD
MA805736OtherTUFT'S HEALTH PLAN
RI0469887OtherAETNA US HEALTH
MA6001001OtherUNITED HEALTH CARE