Organization Active NPI

Visiting Nurse Association of Cape Cod, Inc.

  • Home Health Agency
  • South Dennis, MA
National Provider Identifier
1649258278
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
227067 Issued in MA
Legal business name
VISITING NURSE ASSOCIATION OF CAPE COD, INC.
Practice address
434 Route 134
Suite 1, BLDG G
South Dennis, MA 02660-3433
Phone
(508) 957-7400
Fax
(508) 771-4016
NPI assigned
Jan 4, 2006
Last updated
Dec 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Brian Yonker
Title
Ar Manager
Phone
(508) 957-7410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 227067 MA Primary

Addresses

Primary practice location

434 Route 134
Suite 1, BLDG G
South Dennis, MA 02660-3433

Mailing address

434 Route 134
South Dennis, MA 02660-3433
Phone (508) 957-7400

Other identifiers 3

IdentifierTypeStateIssuer
120067OtherMABCBS PROVIDER #
702149OtherMAHPHC PROVIDER NUMBER
0600652MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20021024000009 MA Part A Provider - Home Health Agency 1658289137 Practice locations: South Dennis, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649258278. Details of each certification follow.

Home health agency certification: CCN 227067A

Legal name
VISITING NURSE ASSOCIATION OF CAPE COD, INC.
Doing business as
VNA OF CAPE COD, INC
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1998 in MA
Enrollment address
434 Route 134
Suite 1, BLDG G
South Dennis, MA 02660-1401
HHA Branch

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Vna of Cape CodCCN 227067
Overall star rating
3.5 of 5
Ownership
Non-Profit
Certified
Jul 1, 1966
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0081241Vna of Cape Cod Inc434 Route 134, South Dennis, MA 02660Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Visiting Nurse Association of Cape Cod Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

434 Route 134
South Dennis, MA 02660
Phone (508) 394-1628

434 Route 134
Ste G1
South Dennis, MA 02660
Phone (508) 957-7400

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Edward James Mulcahy Individual Corporate Director Jan 1, 1998
Michael Jones Individual Corporate Director Jan 1, 1998
Alastair Bruce Johnston Individual Corporate Director Jan 1, 1998
Kevin Y Vilsaint Individual Corporate Director Jan 1, 1998
Ramani Ayer Individual Corporate Director Jan 1, 1998
Robert a Talerman Individual Corporate Director Jan 1, 1998
Robin Devereux Individual Corporate Director Jan 1, 1998
Theodore a Calianos Individual Corporate Director Jan 1, 1998
Ann-Marie Peckham Individual Corporate OfficerAdministrator Jun 13, 2017
W-2 Managing EmployeeAdministrator Jun 13, 2017
Sharon Kennedy Individual Corporate Director Jan 1, 1998
Michael K Lauf Individual Corporate Director Jan 1, 1998
Cape Cod Healthcare Organization, Hyannis, MA Corporation Operational/Managerial Control Jan 1, 1998
Joseph M Gergyes Individual Corporate Director Jan 1, 1998
Nathan T Rudman Individual Corporate Director Jan 1, 1998
Molly Ann Sullivan Individual Corporate Director Jan 1, 1998
Lawrence Capodilupo Individual Corporate Director Jan 1, 1998

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 282

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 282

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1649258278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 ROUTE 134",
            "city": "SOUTH DENNIS",
            "state": "MA",
            "postal_code": "026603433",
            "telephone_number": "508-957-7400",
            "fax_number": "508-771-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 ROUTE 134",
            "address_2": "SUITE 1, BLDG G",
            "city": "SOUTH DENNIS",
            "state": "MA",
            "postal_code": "026603433",
            "telephone_number": "508-957-7400",
            "fax_number": "508-771-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING NURSE ASSOCIATION OF CAPE COD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "YONKER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "AR MANAGER",
        "authorized_official_telephone_number": "508-957-7410"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MA",
            "license": "227067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "120067",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC PROVIDER NUMBER",
            "identifier": "702149",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0600652",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Dennis, MA

Sources for this page

Verify at the official NPI Registry.