NPIMap

Organization Active NPI

Norwell Visiting Nurse Association Inc

  • Home Health Agency
  • Norwell, MA
National Provider Identifier
1043398498
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NORWELL VISITING NURSE ASSOCIATION INC
Practice address
120 Longwater Dr Ste 200
Norwell, MA 02061-1653
Phone
(781) 659-2342
Fax
(781) 659-0150
NPI assigned
Nov 2, 2006
Last updated
Oct 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Authorized official

Name
Mrs. Renee McInnes, RN, BSN
Title
Chief Executive Officer
Phone
(781) 610-1435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

120 Longwater Dr Ste 200
Norwell, MA 02061-1653

Mailing address

120 Longwater Drive
Norwell, MA 02061
Phone (781) 659-2342

Other identifiers 7

IdentifierTypeStateIssuer
0007818OtherMANEIGHBORHOOD HEALTH PLAN
7200033OtherMAEVERCARE
800879OtherMATUFTS HEALTH PLAN
19907OtherMAFALLON COMMUNITY HEALTH
0604097MedicaidMA
120241OtherMABLUE CROSS BLUE SHIELD MA
700524OtherMAHARVARD PILGRIM HEALTH CA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050729000103 MA Part B Supplier - Clinic/Group Practice 1658309851 Receives reassigned benefits from 19 practitioners
Practice locations: Norwell, MA
O20060207000694 MA Part A Provider - Home Health Agency 1658309851 Practice locations: Norwell, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043398498. Details of each certification follow.

Home health agency certification: CCN 227241

Legal name
NORWELL VISITING NURSE ASSOCIATION INC
Doing business as
CROI HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 31, 1985
Last certification
Jul 27, 2018
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Dec 31, 1924 in MA
Enrollment address
120 Longwater Dr
Norwell, MA 02061-1653
HHA Branch

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Croi HealthCCN 227241 · All quality measures
Overall star rating
5 of 5
Ownership
Non-Profit
Certified
Jul 31, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

120 Longwater Dr
Norwell, MA 02061
Phone (781) 659-2342

120 Longwater Dr
Ste 200
Norwell, MA 02061
Phone (781) 659-2342

91 Longwater Cir
Norwell, MA 02061
Phone (617) 479-8500

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Renee McInnes Individual Corporate OfficerCeo Jul 1, 2016 100%
Elena Kirkiles Individual Corporate Director Oct 21, 2020
William Scalzulli Individual Corporate DirectorBoard Member/Director-Treasurer Mar 1, 2016
Donna Pineau Individual Corporate Director Oct 10, 2018
Deirdre Prescott Individual Corporate Director Sep 17, 2016
Mary Sweeney Individual Corporate Director Oct 10, 2018
Karen Mullaney Individual Corporate Director May 10, 2018
Tammy Tavares Individual W-2 Managing Employee Aug 1, 2016
Linda Mahonen Individual Corporate DirectorBoard Member-VP Mar 1, 2016
Ben Bembenek Individual Corporate Director Sep 28, 2017
John Burke Individual Corporate Director May 23, 2019
Kate Elisabeth Mercier Individual Corporate OfficerCoo Oct 1, 2021
Amy E Kulp Individual W-2 Managing EmployeeAdministrative SVCS MGR Aug 1, 2016
Anita Comerford Individual Corporate Director Oct 10, 2018
Claudia Dolphin Individual Corporate Director May 23, 2019
Shaun Golden Individual Corporate Director Nov 16, 2017
Nvna Foundation, Inc Organization, Norwell, MA Non-profit Operational/Managerial Control Sep 15, 2010 100%

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

Affiliated clinicians 243

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 243

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1043398498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 LONGWATER DRIVE",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "02061",
            "telephone_number": "781-659-2342",
            "fax_number": "781-659-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LONGWATER DR STE 200",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611653",
            "telephone_number": "781-659-2342",
            "fax_number": "781-659-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORWELL VISITING NURSE ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "MCINNES",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "781-610-1435",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0007818",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "7200033",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "800879",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON COMMUNITY HEALTH",
            "identifier": "19907",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0604097",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MA",
            "identifier": "120241",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH CA",
            "identifier": "700524",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwell, MA

Sources for this page

Verify at the official NPI Registry.