Organization Active NPI

Overlook Visiting Nurse Association, Inc.

  • Home Health Agency
  • Charlton, MA
National Provider Identifier
1184608333
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
OVERLOOK VISITING NURSE ASSOCIATION, INC.
Practice address
88 Masonic Home Rd
Charlton, MA 01507-1394
Phone
(508) 434-2440
Fax
(888) 978-9808
NPI assigned
Dec 1, 2005
Last updated
Oct 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Authorized official

Name
Michele Fuller, RN
Title
Regional Administrator
Phone
(508) 434-2480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

88 Masonic Home Rd
Charlton, MA 01507-1394

Mailing address

88 Masonic Home Rd
Charlton, MA 01507-1394
Phone (800) 990-7642

Other identifiers 3

IdentifierTypeStateIssuer
120443OtherMABLUECROSS BLUESHEILD
22D0974028OtherMACLIA
0607576MedicaidMA

Other names 1

  • Overlook Home Health, Inc. 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": "1133395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1184608333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 MASONIC HOME RD",
            "city": "CHARLTON",
            "state": "MA",
            "postal_code": "015071394",
            "telephone_number": "800-990-7642",
            "fax_number": "888-978-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 MASONIC HOME RD",
            "city": "CHARLTON",
            "state": "MA",
            "postal_code": "015071394",
            "telephone_number": "508-434-2440",
            "fax_number": "888-978-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERLOOK VISITING NURSE ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-01",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "REGIONAL ADMINISTRATOR",
        "authorized_official_telephone_number": "508-434-2480",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHEILD",
            "identifier": "120443",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "22D0974028",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0607576",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Overlook Home Health, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Charlton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.