Marthas Vineyard Community Services, Inc Dba Visiting Nurse Service

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

005601 Issued in MA

Legal business name

MARTHAS VINEYARD COMMUNITY SERVICES, INC DBA VISITING NURSE SERVICE

Practice address

111 Edgartown Vineyard Haven Road
Oak Bluffs, MA 02557

Phone

(508) 693-7900

Fax

(508) 693-6669

NPI assigned

May 23, 2005

Last updated

Mar 5, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Julia Burgess

Title

Ceo

Phone

(508) 693-7900

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393977600000",
    "number": "1720081912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 EDGARTOWN RD",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "025685601",
            "telephone_number": "508-693-7900",
            "fax_number": "508-693-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 EDGARTOWN VINEYARD HAVEN ROAD",
            "city": "OAK BLUFFS",
            "state": "MA",
            "postal_code": "02557",
            "telephone_number": "508-693-7900",
            "fax_number": "508-693-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHAS VINEYARD COMMUNITY SERVICES, INC DBA VISITING NURSE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2014-03-05",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "508-693-7900",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MA",
            "license": "005601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0601845",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "120125",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH CA",
            "identifier": "704411",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha's Vineyard Hospital, Inc.
• Martha's Vineyard Hospital, Inc.
• Martha's Vineyard Hospital, Inc.
• Martha's Vineyard Hospital, Inc. (Martha's Vineyard Hospital)
• Martha's Vineyard Hospital, Inc.
• Marthas Vineyard Hospital Dental Center
• Sheila McHugh
• Michael Joseph Michotek, M.D.
• Melanie A Miller, M.D.
• Brian Lee Morris

• Home Health Agency in Oak Bluffs, MA
• Providers in Oak Bluffs, MA by specialty
• Home Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; 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.