Organization Active NPI

Visiting Nurse Association of Cape Cod, Inc.

  • Community Based Hospice Care Agency
  • Hyannis, MA
National Provider Identifier
1366420861
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
221554 Issued in MA
Legal business name
VISITING NURSE ASSOCIATION OF CAPE COD, INC.
Practice address
25 Communication Way
Hyannis, MA 02601-8137
Phone
(508) 957-7400
Fax
(508) 771-4016
NPI assigned
Jan 4, 2006
Last updated
Dec 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Brian Yonker
Title
Ar Manager
Phone
(508) 957-7410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 221554 MA Primary

Addresses

Primary practice location

25 Communication Way
Hyannis, MA 02601-8137

Mailing address

25 Communication Way
Hyannis, MA 02601-8137
Phone (508) 957-7400

Other identifiers 2

IdentifierTypeStateIssuer
0605182MedicaidMA
221554OtherMABCBS PROVIDER #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20021024000008 MA Part A Provider - Hospice 1658289137 Practice locations: East Sandwich, MA; Hyannis, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366420861. Details of each certification follow.

Hospice certification: CCN 221554

Legal name
VISITING NURSE ASSOCIATION OF CAPE COD, INC.
Doing business as
VISITING NURSE ASSOCIATION OF CAPE COD HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 5, 2002
Last certification
Nov 9, 2021
Ownership / control type
Non-Profit - Other
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1998 in MA
Enrollment address
25 Communication Way
Hyannis, MA 02601-8137

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: Hospice

Medicare Care Compare
Listed as
Visiting Nurse Association of Cape Cod HospiceCCN 221554 · All quality measures
Ownership
Non-Profit
Certified
Apr 5, 2002
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Visiting Nurse Association of Cape Cod Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

73 Service Rd
East Sandwich, MA 02537
Phone (508) 957-0200

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Ann-Marie Peckham Individual Corporate OfficerAdministrator Jun 13, 2017
W-2 Managing EmployeeAdministrator Jun 13, 2017
Sharon Molinaro Individual W-2 Managing Employee Mar 11, 2019
Cape Cod Healthcare Organization, Hyannis, MA Non-profit Operational/Managerial Control Jan 1, 1998
Jorge a Alfonso Individual W-2 Managing EmployeeMD; Feb 20, 2019

Owners & managing parties with NPI records 1

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

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 82

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

View all 82

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1366420861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 COMMUNICATION WAY",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026018137",
            "telephone_number": "508-957-7400",
            "fax_number": "508-771-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 COMMUNICATION WAY",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026018137",
            "telephone_number": "508-957-7400",
            "fax_number": "508-771-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING NURSE ASSOCIATION OF CAPE COD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "YONKER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "AR MANAGER",
        "authorized_official_telephone_number": "508-957-7410"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MA",
            "license": "221554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0605182",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "221554",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.