Active NPI
Visiting Nurse Association of Saint Clare'S, Inc.
- Home Health Agency
- Sparta, NJ
National Provider Identifier
1063483501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 71902
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 242176 | Other | LIBERTY MUTUAL | |
| 33550 | Other | AMERI-GROUP | |
| OLO538 | Other | HEALTH NET | |
| 011086 | Other | AETNA | |
| 1033739 | Other | HORIZON NJ HEALTH | |
| 120635 | Other | GHI | |
| 317076 | Other | BCBS OF NEW JERSEY | |
| 35182 | Other | CORE SOURCE | |
| A437744C | Other | OXFORD | |
| 139989 | Other | GENTIVA | |
| 4222 | Other | AMERIHEALTH | |
| 3692400 | Medicaid | NJ | |
| 3692418 | Other | PCA/CCPED | |
| 78010000317076 | Other | FEDERAL HORIZON |
Other names 1
- Visiting Nurse Association of Sussex County
National Provider Directory
National Provider DirectoryNPI 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.