Organization Active NPI

Midstate Vna & Hospice Inc

  • Community Based Hospice Care Agency
  • Meriden, CT
National Provider Identifier
1629193156
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
C81751 Issued in CT
Legal business name
MIDSTATE VNA & HOSPICE INC
Practice address
1 Research Pkwy
Meriden, CT 06450-8400
Phone
(203) 235-5714
Fax
(203) 630-9841
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Authorized official

Name
Ms. Ellen Rothberg, RN, MPH
Title
President Ceo
Phone
(203) 235-5714

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X C81751 CT Primary

Addresses

Primary practice location

1 Research Pkwy
Meriden, CT 06450-8400

Mailing address

1 Research Pkwy
Meriden, CT 06450-8400
Phone (203) 235-5714

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

35 Thorpe Ave
Ste 102
Wallingford, CT 06492
Phone (203) 235-5714

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1629193156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RESEARCH PKWY",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064508400",
            "telephone_number": "203-235-5714",
            "fax_number": "203-630-9841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RESEARCH PKWY",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064508400",
            "telephone_number": "203-235-5714",
            "fax_number": "203-630-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDSTATE VNA & HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "ROTHBERG",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "203-235-5714",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, MPH"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CT",
            "license": "C81751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meriden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.