Southcoast Visiting Nurse Association. Inc
Organization Active NPI Home Health Agency · Fairhaven, MA
NPI 1104937697 · NPPES record last updated Nov 5, 2025
Key facts
- NPI
- 1104937697
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 2211 (RI)
- Legal business name
- SOUTHCOAST VISITING NURSE ASSOCIATION. INC
- Practice address
- 200 Mill Road, Suite 120
Fairhaven, MA 02719 - Phone
- (508) 973-3210
- Fax
- (508) 973-3215
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Fernanda Johnson, PT, DPT
- Title
- President/Ceo
- Phone
- (508) 973-3200
Owners & managing parties with NPI records 4
-
Curtis J. Mello, MD
-
Jeffrey Lawrence, M.D.
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Affiliated clinicians 239
-
Abena A. Addo, MD
-
Gloriane Afonso-Fede, M.D.
-
Dineli N. Ahearn, M.D.
-
Sally F Alexandre, PA-C
-
Pilar Alonso, M.D.
-
Jorge M Andrade, MD
-
Kimberly S. Babb, MD
-
Matthew S Baltz, MD
-
Kylynn Ann Barbero, DNP, FNP-BC, RN
-
Taylor Lynn Bardsley, FNP-C
-
Thaylon Barreto, MD
-
Neveen N. Bassaly, M.D.
-
Karmina Bautista, MD
-
Devin Lynde Bean, PA
-
William R Blair, D.O.
-
Kevin R Blanchard, APRN, BC
-
Dillen J Bosgra, MD
Medicare Care Compare: Home health agency
- Listed as
- Southcoast Visiting Nurse Association Inc
- Overall star rating
- ★★★★☆ 3.5 of 5
- Ownership
- Non-Profit
- Certified
- Jul 1, 1966
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Home health agency certification: CCN 227101
- Legal name
- SOUTHCOAST VISITING NURSE ASSOCIATION, INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 1, 1966
- Last certification
- Oct 7, 2019
- Ownership / control type
- Non-Profit
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jan 1, 1925 in MA
- Enrollment address
- 200 Mill Road
Fairhaven, MA 02719-5252
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| Patricia Buiocchi |
Corporate Officer | Apr 1, 2022 | |
| Miguel B Brillantes |
Corporate Director | Apr 1, 2022 | |
| Jeffrey Lawrence |
Corporate Director | Apr 1, 2022 | |
| Renee Clark |
Corporate Director | Apr 1, 2022 | |
| Rayford Kruger |
Corporate Director | Apr 1, 2022 | |
| Curtis Mello |
Corporate Director | Apr 1, 2022 | |
| Paul Velho |
Corporate Director |
May 1, 2022 | |
| W-2 Managing Employee | May 1, 2022 | ||
| Wade Broughman |
Corporate Director | Apr 1, 2022 | |
| Linda Fagioli |
Operational/Managerial Control | May 1, 2022 | |
| Chandra S Reddivari |
Corporate Director | Apr 1, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071121000486 | MA | Part a Provider - Home Health Agency | 5193637189 | Practice locations: Fairhaven, MA |
National Provider Directory
- Tax ID family
- Hospice and Palliative Care
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 2211 | RI | Yes |
Addresses
Primary practice location
200 Mill Road, Suite 120
Fairhaven, MA 02719
Mailing address
200 Mill Rd Ste 120
Fairhaven, MA 02719-5252
Phone (508) 973-3200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007826 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| VN01327 | Medicaid | RI | |
| 800878 | Other | MA | TUFT'S |
| 0603082 | Other | MA | BRISTOL ELDER SERVICES |
| 201491 | Other | RI | BLUE CHIP |
| 60-00162 | Other | MA | UNITED HEALTH |
| 800878 | Other | RI | TUFT'S |
| 700288 | Other | MA | PILGRIM HEALTH CARE |
| 60-00162 | Other | RI | UNITED HEALTH |
| 001212 | Other | MA | SENIOR WHOLE HEALTH |
| VN23910 | Other | RI | RI DPT HUMAN SERVICE |
| 000000021838 | Other | MA | BMC HEALTHNET PLAN |
| 0469887 | Other | MA | US HEALTHCARE |
| 0603082 | Medicaid | MA | |
| 5813-1 | Other | RI | RI BLUE CROSS |
| 120-101 | Other | MA | HMO BLUE-BC/BS |
Other providers in Fairhaven, MA
- Southcoast Long-Term Care Services, Inc.
- Southcoast Physicians Group, Inc.
- Southcoast Physicians Group, Inc.
- Southcoast Physicians Group, Inc.
- Southcoast Visiting Nurse Association, Inc
- Meagan Souza
- Alyson L Sparrow
- Megan L Specht-Benbenek
- Matthew Spring
- Katherine Starr
All providers in Fairhaven, MA · Home Health Agency in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.