Organization Active NPI

Visiting Nurse Association of Saint Clare'S, Inc.

  • Home Health Agency
  • Sparta, NJ
National Provider Identifier
1063483501
Registry record updated Oct 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
71902 Issued in NJ
Legal business name
VISITING NURSE ASSOCIATION OF SAINT CLARE'S, INC.
Practice address
191 Woodport Rd
Sparta, NJ 07871-2641
Phone
(973) 729-7078
Fax
(973) 729-7057
NPI assigned
Feb 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2009

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

Authorized official

Name
Mr. Fred Hammond
Title
Organizational Cfo
Phone
(973) 729-7078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 71902 NJ Primary

Addresses

Primary practice location

191 Woodport Rd
Sparta, NJ 07871-2641

Mailing address

191 Woodport Rd
Sparta, NJ 07871-2641
Phone (973) 729-7078

Other identifiers 14

IdentifierTypeStateIssuer
242176OtherLIBERTY MUTUAL
33550OtherAMERI-GROUP
OLO538OtherHEALTH NET
011086OtherAETNA
1033739OtherHORIZON NJ HEALTH
120635OtherGHI
317076OtherBCBS OF NEW JERSEY
35182OtherCORE SOURCE
A437744COtherOXFORD
139989OtherGENTIVA
4222OtherAMERIHEALTH
3692400MedicaidNJ
3692418OtherPCA/CCPED
78010000317076OtherFEDERAL HORIZON

Other names 1

  • Visiting Nurse Association of Sussex County Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256256000000",
    "number": "1063483501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 WOODPORT RD",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078712641",
            "telephone_number": "973-729-7078",
            "fax_number": "973-729-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 WOODPORT RD",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078712641",
            "telephone_number": "973-729-7078",
            "fax_number": "973-729-7057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING NURSE ASSOCIATION OF SAINT CLARE'S, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2009-10-23",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "ORGANIZATIONAL CFO",
        "authorized_official_telephone_number": "973-729-7078",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "71902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIBERTY MUTUAL",
            "identifier": "242176",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERI-GROUP",
            "identifier": "33550",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "OLO538",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "011086",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1033739",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "120635",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NEW JERSEY",
            "identifier": "317076",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORE SOURCE",
            "identifier": "35182",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "A437744C",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENTIVA",
            "identifier": "139989",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "4222",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3692400",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PCA/CCPED",
            "identifier": "3692418",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL HORIZON",
            "identifier": "78010000317076",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Nurse Association of Sussex County",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sparta, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.