Professional Nurses Service Inc
Organization Active NPI Home Health Agency · South Burlington, VT
NPI 1508971086 · NPPES record last updated Oct 30, 2009
Key facts
- NPI
- 1508971086
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 3747P1801X (VT)
- Legal business name
- PROFESSIONAL NURSES SERVICE INC
- Practice address
- 110 Kimball Ave
Suite 250
South Burlington, VT 05403-6833 - Phone
- (800) 446-8773
- Fax
- (802) 861-2921
- NPI assigned
- Aug 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Jean P McHenry, R.N.
- Title
- President/Ceo
- Phone
- (800) 446-8773
Member of 1
National Provider Directory
Locations
135 N Main St
Ste 7
Rutland, VT 05701
Phone (802) 775-6067
110 Kimball Ave
Ste 250
South Burlington, VT 05403
Phone (800) 446-8773
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 3747P1801X | VT | Yes |
Addresses
Primary practice location
110 Kimball Ave
Suite 250
South Burlington, VT 05403-6833
Mailing address
110 Kimball Ave
Suite 250
South Burlington, VT 05403-6833
Phone (800) 446-8773
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0VN0042 | Medicaid | VT | |
| 1004791 | Medicaid | VT | |
| 047W266 | Medicaid | VT | |
| 1011977 | Medicaid | VT | |
| 1005258 | Medicaid | VT |
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All providers in South Burlington, VT · Home Health Agency in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.