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Organization Active NPI

Vna at HCS, Inc

  • Home Health Agency
  • Keene, NH
National Provider Identifier
1083693014
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
02915 Issued in NH
Legal business name
VNA AT HCS, INC
Practice address
312 Marlboro St
Keene, NH 03431-4163
Phone
(603) 352-2253
Fax
(603) 358-3904
NPI assigned
Jan 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Authorized official

Name
Mr. Dawn Michelizzi
Title
Cfo
Phone
(603) 352-2253

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 02915 NH Primary
Home Health Agency 251E00000X

Addresses

Primary practice location

312 Marlboro St
Keene, NH 03431-4163

Mailing address

312 Marlboro St
PO Box 564
Keene, NH 03431-4163
Phone (603) 352-2253

Other identifiers 2

IdentifierTypeStateIssuer
99591036MedicaidNH
80307046MedicaidNH

Other names 1

  • Home Healthcare, Hospice & Community Services Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040820000036 NH Part A Provider - Home Health Agency 3173597754 Practice locations: Keene, NH

Home health agency certification: CCN 307046

Legal name
VNA AT HCS, INC
Doing business as
HOME HEALTHCARE HOSPICE AND COMMINITY SERVICES INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 19, 1979
Last certification
May 9, 2018
Ownership / control type
Proprietary
Organization structure
CorporationNon-profit
Incorporated
Apr 16, 1996 in NH
Enrollment address
312 Marlboro St
Keene, NH 03431-4163
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
Vna at HCS IncCCN 307046
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Oct 19, 1979
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Home Healthcare Hospice Community Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Jessica Mack Individual Corporate DirectorDirector of Operations/Compliance May 26, 2015
W-2 Managing EmployeeDirector of Operations/Compliance Dec 8, 1997
Susan Ashworth Individual Corporate DirectorDirector of Community Relations Jan 18, 2018
Laura Brow Individual Corporate DirectorDirector of Clinical Operations May 1, 2016
Gaylemarie a Murphy Individual Corporate DirectorVice President of Human Resources Oct 22, 2012
Maura McQueeney Individual Corporate OfficerChief Executive Officer Dec 3, 2019
W-2 Managing EmployeeAd; Dec 3, 2019
Sarren Sarna Individual Corporate DirectorDirector of Philanthropy and Growth Oct 7, 2019
Pamela a Streletsky Individual Corporate DirectorDirector of Financial Operations Apr 24, 2024

Practitioners & affiliated clinicians

Affiliated clinicians 57

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

View all 57

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1083693014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 MARLBORO ST",
            "address_2": "PO BOX 564",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034314163",
            "telephone_number": "603-352-2253",
            "fax_number": "603-358-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 MARLBORO ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034314163",
            "telephone_number": "603-352-2253",
            "fax_number": "603-358-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VNA AT HCS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-10",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "MICHELIZZI",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "603-352-2253",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NH",
            "license": "02915",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99591036",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80307046",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Healthcare, Hospice & Community Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Home Healthcare, Hospice & Community Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Keene, NH

Sources for this page

Verify at the official NPI Registry.