Vna-Hospice of Southern Carroll County & Vicinity,Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

01937 Issued in NH

Legal business name

VNA-HOSPICE OF SOUTHERN CARROLL COUNTY & VICINITY,INC.

Practice address

240 S Main St
Wolfeboro, NH 03894-4411

Phone

(603) 569-2729

Fax

(603) 569-2409

NPI assigned

Jun 2, 2005

Organization subpart

No

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

Authorized official

Name

George Laban

Title

Executive Director

Phone

(603) 569-2729

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1508860875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1620",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038941620",
            "telephone_number": "603-569-2729",
            "fax_number": "603-569-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S MAIN ST",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038944411",
            "telephone_number": "603-569-2729",
            "fax_number": "603-569-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VNA-HOSPICE OF SOUTHERN CARROLL COUNTY & VICINITY,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-02",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "LABAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "603-569-2729"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NH",
            "license": "01937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80307016",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30531886",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99591034",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Richard Travis, PT
• Elizabeth Valcourt, PTA
• Thomas E Varney, M.D.
• Vlasta Zdrnja MD PLLC
• Vna-Hospice of Southern Carroll County & Vicinity, Inc.
• Katherine Elizabeth Voke, OT
• Jodi Von Jess
• Walgreen Co
• Walgreen Eastern Co Inc
• Beth Walker, LCMHC

• Home Health Agency in Wolfeboro, NH
• Providers in Wolfeboro, NH by specialty
• Home Health Agency in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.