Organization Active NPI

Vineyard Nursing Association, Inc.

  • Home Health Agency
  • Oak Bluffs, MA
National Provider Identifier
1588660443
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
227233 Issued in MA
Legal business name
VINEYARD NURSING ASSOCIATION, INC.
Practice address
1 Hospital Road
Oak Bluffs, MA 02557-2568
Phone
(508) 693-6184
Fax
(508) 693-5607
NPI assigned
Jun 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Kathleen F. Rose, RN, MHSA
Title
President/Ceo
Phone
(508) 693-6184

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 227233 MA Primary

Addresses

Primary practice location

1 Hospital Road
Oak Bluffs, MA 02557-2568

Mailing address

PO Box 2568
Oak Bluffs, MA 02557-2568
Phone (508) 693-6184

Other identifiers 1

IdentifierTypeStateIssuer
0603619MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588660443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2568",
            "city": "OAK BLUFFS",
            "state": "MA",
            "postal_code": "025572568",
            "telephone_number": "508-693-6184",
            "fax_number": "508-693-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL ROAD",
            "city": "OAK BLUFFS",
            "state": "MA",
            "postal_code": "025572568",
            "telephone_number": "508-693-6184",
            "fax_number": "508-693-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINEYARD NURSING ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "508-693-6184",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MHSA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MA",
            "license": "227233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0603619",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Bluffs, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.