NPIMap

Organization Active NPI

Visiting Nurse Association of Northern New Jersey, Inc

  • Home Health Agency
  • Morristown, NJ
National Provider Identifier
1104867969
Registry record updated Mar 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
71401 Issued in NJ
Legal business name
VISITING NURSE ASSOCIATION OF NORTHERN NEW JERSEY, INC
Practice address
175 South Street
Morristown, NJ 07960
Phone
(973) 539-1216
Fax
(973) 539-9802
NPI assigned
Jun 10, 2006
Last updated
Mar 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2011

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

Authorized official

Name
Ms. Faith F. Scott
Title
President/Ceo
Phone
(973) 539-1216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 71401 NJ Primary

Addresses

Primary practice location

175 South Street
Morristown, NJ 07960

Mailing address

175 South Street
Morristown, NJ 07960
Phone (973) 539-1216

Other identifiers 1

IdentifierTypeStateIssuer
3687309MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091218000349 NJ Part A Provider - Home Health Agency 6800970609 Practice locations: Morristown, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104867969. Details of each certification follow.

Home health agency certification: CCN 317002

Legal name
VISITING NURSE ASSOCIATION OF NORTHERN NEW JERSEY, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 1966
Last certification
Jul 30, 2021
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Dec 17, 1920 in NJ
Enrollment address
175 South St
Morristown, NJ 07960-4192

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
Visiting Nurse Assoc of Northern New Jersey, IncCCN 317002 · All quality measures
Overall star rating
4 of 5
Ownership
Non-Profit
Certified
Jul 1, 1966
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
Tax ID family
Visiting Nurse Association of Northern New Jersey Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

38 Elm St
Morristown, NJ 07960
Phone (973) 539-1216

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
John Grano Individual Corporate Director Jan 1, 2011 14.3%
Visiting Nurse Association of Northern New Jersey Health System, Inc. Organization, Morristown, NJ Created for acquisition, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 1996 100%
Eva Kubanik Individual Corporate Director Jul 15, 2009
Faith Scott Individual Corporate OfficerCeo Aug 16, 1990 100%
W-2 Managing EmployeeCeo Aug 16, 1990 100%
Elizabeth Gilfillan Individual Corporate DirectorRep of the Board Jan 1, 2011 14.3%
Operational/Managerial Control Apr 16, 1996
Visiting Nurse Association of Northern New Jersey, Inc Organization, Morristown, NJ Non-profit Operational/Managerial Control Apr 16, 1996 100%
Nancy Nadaskay Individual Corporate DirectorPast Pres of the Board Jan 1, 2011 14.3%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Visiting Nurse Association of Northern New Jersey, IncMorristown, NJ, CCN 311543 Hospice Operational/Managerial Control (100%) Jan 1, 1996

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 150

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

View all 150

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301011200000",
    "number": "1104867969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 SOUTH STREET",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "07960",
            "telephone_number": "973-539-1216",
            "fax_number": "973-539-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 SOUTH STREET",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "07960",
            "telephone_number": "973-539-1216",
            "fax_number": "973-539-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING NURSE ASSOCIATION OF NORTHERN NEW JERSEY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2011-03-25",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "FAITH",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "973-539-1216",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "71401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3687309",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.