Provider Demographics
NPI:1609877117
Name:HOME HEALTH VNA INC
Entity type:Organization
Organization Name:HOME HEALTH VNA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:GOMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-552-4000
Mailing Address - Street 1:360 MERRIMACK ST
Mailing Address - Street 2:BUILDING 9
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01843-1740
Mailing Address - Country:US
Mailing Address - Phone:978-552-4000
Mailing Address - Fax:978-552-4410
Practice Address - Street 1:360 MERRIMACK ST
Practice Address - Street 2:BUILDING 9
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01843-1740
Practice Address - Country:US
Practice Address - Phone:978-552-4000
Practice Address - Fax:978-552-4410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-09
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30001925OtherNH MEDICAID
MA0603015Medicaid
MA700840OtherHARVARD PILGRIM HEALTH
800914OtherTUFTS ASSOCIATED HEALTH
MA120206OtherBLUE CROSS OF MA
MA31343OtherFALLON COMMUNITY
NH227206OtherANTHEM BLUE CROSS
NH30003584OtherNH MEDICAID(HCBC)
MA=========OtherHEALTHY START
NH30003584OtherNH MEDICAID(HCBC)
800914OtherTUFTS ASSOCIATED HEALTH
MA000638701Medicare PIN
NH30001925OtherNH MEDICAID
800914OtherTUFTS ASSOCIATED HEALTH