NPIMap

Organization Active NPI

Medford Visiting Nursing Association

  • Community Based Hospice Care Agency
  • Arlington, MA
National Provider Identifier
1699948166
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
MEDFORD VISITING NURSING ASSOCIATION
Practice address
37 Broadway
Arlington, MA 02474-5552
Phone
(781) 643-6090
Fax
(781) 643-7395
NPI assigned
Apr 7, 2008
Last updated
Dec 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Authorized official

Name
Kim Arouth, RN
Title
Ceo
Phone
(781) 350-5610

Specialties & licenses 1

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

Addresses

Primary practice location

37 Broadway
Arlington, MA 02474-5552

Mailing address

37 Broadway
Arlington, MA 02474-5552
Phone (781) 643-6090

Other names 1

  • Visiting Nurse & Community Health Hospice Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180316001417 MA Part A Provider - Hospice 1153322318 Practice locations: Arlington, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699948166. Details of each certification follow.

Hospice certification: CCN 221588

Legal name
MEDFORD VISITING NURSING ASSOCIATION
Doing business as
VISITING NURSE & COMMUNITY CARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 7, 2009
Last certification
Apr 26, 2018
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
May 23, 1910 in MA
Enrollment address
37 Broadway
Ste 2
Arlington, MA 02474-5552

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: Hospice

Medicare Care Compare
Listed as
Visiting Nurse & Community CareCCN 221588 · All quality measures
Ownership
Non-Profit
Certified
Jul 7, 2009
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Ability Network2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Henry Stuart Risman Individual Corporate DirectorDirector Mar 24, 2017
Paul Bardaro Individual Corporate DirectorDirector Mar 24, 2017
Robert Francis Driscoll Individual Corporate OfficerTreasurer May 24, 2017
Corporate Director May 24, 2017
Nancy Nager Individual Corporate Director Mar 24, 2017
Kimberly Arouth Individual Corporate OfficerCeo Jul 5, 2019
John Moniz Individual Corporate DirectorDirector Mar 24, 2017
Janice Crosby Individual Corporate DirectorDirector Mar 24, 2017
Denise Marie Potts Individual Corporate OfficerSecretary and Director Mar 24, 2017
Corporate DirectorSecretary and Director Mar 24, 2017
Stephen Edward Napier Individual Corporate DirectorDirector Mar 24, 2017
Janie K Gould Individual Corporate OfficerChief Financial Officer May 24, 2017
W-2 Managing EmployeeChief Financial Officer May 24, 2017
Louise Ann Mallett Individual Corporate OfficerPresident and Board Chair Mar 24, 2017
Corporate DirectorPresident and Board Chair Mar 24, 2017

Practitioners & affiliated clinicians

Affiliated clinicians 4

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

NPI Registry JSON

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1699948166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 BROADWAY",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024745552",
            "telephone_number": "781-643-6090",
            "fax_number": "781-643-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 BROADWAY",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024745552",
            "telephone_number": "781-643-6090",
            "fax_number": "781-643-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDFORD VISITING NURSING ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "AROUTH",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "781-350-5610",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Visiting Nurse & Community Health Hospice",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Visiting Nurse & Community Health Hospice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arlington, MA

Sources for this page

Verify at the official NPI Registry.