Plymouth Visiting Nurse Association

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

C81911 Issued in CT

Legal business name

PLYMOUTH VISITING NURSE ASSOCIATION

Practice address

244 Main St
Terryville, CT 06786-5901

Phone

(860) 585-4026

Fax

(860) 585-4063

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Judith Blanchet, R.N.

Title

Administrative Supervisor

Phone

(860) 585-4026

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699887737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 MAIN ST",
            "city": "TERRYVILLE",
            "state": "CT",
            "postal_code": "067865901",
            "telephone_number": "860-585-4026",
            "fax_number": "860-585-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 MAIN ST",
            "city": "TERRYVILLE",
            "state": "CT",
            "postal_code": "067865901",
            "telephone_number": "860-585-4026",
            "fax_number": "860-585-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYMOUTH VISITING NURSE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLANCHET",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "ADMINISTRATIVE SUPERVISOR",
        "authorized_official_telephone_number": "860-585-4026",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CT",
            "license": "C81911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4043154",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS OF CT",
            "identifier": "685 ZG",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCCI",
            "identifier": "004PPHA103",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE FUNDED ELDERLY PROG",
            "identifier": "4040027",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS OF CT",
            "identifier": "68VNA0074CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Harold Pavalock, DMD
• Desirae Pettit
• Barbara C Plourde, RPH
• Tasha Plourde, COTA/L
• Plymouth BD of Ed
• Shelby Pocius
• Precision Rehab, LLC
• Ralph J Bozza
• Natisha Rivera, LPC
• Rebecca Anne Roben, APRN

• Home Health Agency in Terryville, CT
• Providers in Terryville, CT by specialty
• Home Health Agency in Connecticut

• 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.