Visiting Nurse Association of Southern Worcester County Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

7TJZ Issued in MA

Legal business name

VISITING NURSE ASSOCIATION OF SOUTHERN WORCESTER COUNTY INC.

Doing business as

Central MA Hospice

Practice address

191 Pakachoag St
Auburn, MA 01501-2567

Phone

(508) 755-4500

Fax

(508) 755-4588

NPI assigned

Aug 21, 2013

Last updated

Aug 21, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Jacklyn A Fleming

Title

Executive Director

Phone

(508) 943-0612

Specialties & licenses 1

Addresses

Other names 1

• Central MA Hospice Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Care Central Vna & Hospice Inc

  • Community Based Hospice Care Agency
  • Gardner, MA
  • NPI 1932172160

  Sold to, 2020-04-01

  CMS change of ownership

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1033542436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 SCHOOL ST",
            "city": "WEBSTER",
            "state": "MA",
            "postal_code": "015704319",
            "telephone_number": "508-943-0612",
            "fax_number": "508-949-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 PAKACHOAG ST",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015012567",
            "telephone_number": "508-755-4500",
            "fax_number": "508-755-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING NURSE ASSOCIATION OF SOUTHERN WORCESTER COUNTY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-21",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "JACKLYN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "508-943-0612",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MA",
            "license": "7TJZ",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central MA Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bryanna Vail, LMHC
• Matthew Valcourt, DMD
• Tammy E Vargas, M.D.
• Jeannece Vega Zayas
• Daniel Evan Viders, MD
• Vistacare of Boston, LLC (Gentiva)
• Vivek Mehta DMD PC (Welcome Smiles)
• Deborah Ann Vuillemot, ARNP, CNM
• Carol J Walsh
• Laura Waters

• Community Based Hospice Care Agency in Auburn, MA
• Providers in Auburn, MA by specialty
• Community Based Hospice Care Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.