Active NPI
Midstate Vna & Hospice Inc
- Community Based Hospice Care Agency
- Meriden, CT
National Provider Identifier
1629193156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- C81751
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryMember 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.