NPIMap

Organization Active NPI

Somerset Valley Visiting Nurse Association Inc.

Doing business as Community Visiting Nurse Service

  • Home Health Agency
  • Somerville, NJ
National Provider Identifier
1215934393
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
71801 Issued in NJ
Legal business name
SOMERSET VALLEY VISITING NURSE ASSOCIATION INC.
Doing business as
Community Visiting Nurse Service
Practice address
110 W End Ave
Somerville, NJ 08876-1824
Phone
(908) 725-9355
Fax
(908) 253-9672
NPI assigned
Jul 5, 2005
Last updated
Apr 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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

Authorized official

Name
Ms. Alyce Brophy
Title
President and Ceo
Phone
(908) 725-9355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 71801 NJ Primary

Addresses

Primary practice location

110 W End Ave
Somerville, NJ 08876-1824

Mailing address

110 W End Ave
Somerville, NJ 08876-1824
Phone (908) 725-9355

Other identifiers 1

IdentifierTypeStateIssuer
3688500MedicaidNJ

Other names 1

  • Community Visiting Nurse Service Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050105000319 NJ Part A Provider - Home Health Agency 2163470485 Practice locations: Phillipsburg, NJ; Somerville, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215934393. Details of each certification follow.

Home health agency certification: CCN 317023

Legal name
SOMERSET VALLEY VISITING NURSE ASSOCIATION, INC
Doing business as
COMMUNITY VISITING NURSE SERVICE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 1966
Last certification
Jan 18, 2019
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Nov 26, 1948 in NJ
Enrollment address
110W End Ave
Somerville, NJ 08876-1824

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
Community Visiting Nurse ServiceCCN 317023 · 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
Community Care Hospice2 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 11

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

NameRoleSinceShare
Christopher S Bateman Individual Corporate OfficerBoard Member Jan 1, 2014
Alyce Brophy Individual Corporate Officer Apr 3, 1995
Operational/Managerial ControlPresident Ceo Jan 1, 2001 100%
Lisa J Desnoyers Individual Corporate Officer Jan 1, 2022
Keya C Denner Individual Corporate Officer Jan 1, 2022
Valley Health Care Corporation Organization, Somerville, NJ Non-profit Operational/Managerial Control Apr 26, 1988 100%
Michael C Jablonsky Individual Corporate OfficerBoard Member Mar 1, 1981
Mary Ann Bylinski Individual W-2 Managing EmployeeDirector of Patient Services Feb 10, 2012
Carol Patterson Individual Corporate Officer Apr 20, 2012
Richard Fontana Individual Corporate OfficerBoard Member Jan 1, 2013
Visiting Nurse First Care, Inc Organization, Somerville, NJ Other Sep 13, 1994
Lawrence F Fox Individual Corporate OfficerBoard Member Jan 1, 2019

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 56

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

View all 56

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1215934393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W END AVE",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088761824",
            "telephone_number": "908-725-9355",
            "fax_number": "908-253-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W END AVE",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088761824",
            "telephone_number": "908-725-9355",
            "fax_number": "908-253-9672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERSET VALLEY VISITING NURSE ASSOCIATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "BROPHY",
        "authorized_official_first_name": "ALYCE",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "908-725-9355",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "71801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3688500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Visiting Nurse Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somerville, NJ

Sources for this page

Verify at the official NPI Registry.