NPIMap

Organization Active NPI

Gvna Healthcare, Inc

  • Adult Care Home Facility
  • Gardner, MA
National Provider Identifier
1255747838
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
GVNA HEALTHCARE, INC
Practice address
34 Pearly Lane
Gardner, MA 01440-1736
Phone
(978) 632-1230
Fax
(978) 632-4513
NPI assigned
Jul 3, 2014
Last updated
Jul 3, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
GVNA HEALTHCARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

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

Authorized official

Name
Elaine Fluet, RN, MSN
Title
President/Ceo
Phone
(978) 632-1230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X NU Primary

Addresses

Primary practice location

34 Pearly Lane
Gardner, MA 01440-1736

Mailing address

34 Pearly Lane
Gardner, MA 01440-1736

Other identifiers 1

IdentifierTypeStateIssuer
110024155HMedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Gvna Health Care Inc9 organizations share this tax ID, including this one
Part of
Gvna Health Care Inc

Other organizations with this tax ID 8

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

Locations

34 Pearly Ln
Gardner, MA 01440
Phone (978) 632-1230

NPI Registry JSON

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1255747838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 PEARLY LANE",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014401736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 PEARLY LANE",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014401736",
            "telephone_number": "978-632-1230",
            "fax_number": "978-632-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GVNA HEALTHCARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GVNA HEALTHCARE, INC",
        "enumeration_date": "2014-07-03",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "FLUET",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "978-632-1230",
        "authorized_official_credential": "RN, MSN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110024155H",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardner, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.