Provider Demographics
NPI:1043219553
Name:KENT COUNTY VISITING NURSE ASSOCIATION
Entity type:Organization
Organization Name:KENT COUNTY VISITING NURSE ASSOCIATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:RN MS
Authorized Official - Phone:401-737-6050
Mailing Address - Street 1:51 HEALTH LN
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-2710
Mailing Address - Country:US
Mailing Address - Phone:401-737-6050
Mailing Address - Fax:401-732-6210
Practice Address - Street 1:51 HEALTH LN
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-2710
Practice Address - Country:US
Practice Address - Phone:401-737-6050
Practice Address - Fax:401-732-6210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-18
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIHNC02259251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI1968OtherNEIGHBORHOOD HEALTH PLAN
RI5811OtherBLUE CROSS HOME HEALTH
RICP00410210OtherBLUE CHIP HOME INFUSION
RI5876OtherBLUE CROSS HOME INFUSION
RICP00003688OtherBLUE CHIP HOME HEALTH
RI4107006Medicaid
RI6000219OtherUNITED HEALTH PLAN OF NE
RI5876OtherBLUE CROSS HOME INFUSION