Active NPI
Southcoast Visiting Nurse Association, Inc
- Community Based Hospice Care Agency
- Fairhaven, MA
National Provider Identifier
1801990452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 7223
- Legal business name
- SOUTHCOAST VISITING NURSE ASSOCIATION, INC
- Practice address
- 200 Mill Road, Suite 120
Fairhaven, MA 02719 - Phone
- (508) 973-3210
- Fax
- (508) 973-3215
- NPI assigned
- Sep 12, 2006
- Last updated
- Nov 5, 2025
- 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
- Fernanda Johnson
- Title
- Vice President
- Phone
- (508) 973-3200
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 1612 | RI | |
| Community Based Hospice Care Agency | 251G00000X | 7223 | MA | Primary |
Addresses
Primary practice location
200 Mill Road, Suite 120
Fairhaven, MA 02719
Mailing address
200 Mill Rd Ste 120
Fairhaven, MA 02719-5252
Phone (508) 973-3200
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0469887 | Other | RI | AETNA US HEALTH |
| 700288 | Other | RI | HARVARD PILGRIM HEALTH CA |
| 700288 | Other | MA | HARVARD PILGRIM HEALTH CA |
| 000000021841 | Other | MA | BMC HEALTHNET |
| 6001001 | Other | MA | UNITED HEALTH CARE |
| 6001001 | Other | RI | UNITED HEALTH CARE |
| 0469887 | Other | MA | AETNA US HEALTH |
| VN26573 | Medicaid | RI | |
| 5813-1 | Other | RI | RI BLUE CROSS/BLUE SHIELD |
| 805736 | Other | MA | TUFT'S HEALTH PLAN |
| 0605492 | Other | MA | BRISTOL ELDER SERVICES |
| 0605492 | Medicaid | MA | |
| 221536 | Other | MA | BLUE CROSS/BLUE SHIELD |
| 805736 | Other | RI | TUFT'S HEALTH PLAN |
| 003493 | Other | MA | SENIOR WHOLE HEALTH |
Other names 1
- Hospice and Palliative Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030930000021 | MA | Part A Provider - Hospice | 5193637189 | Practice locations: Fairhaven, MA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1801990452. Details of each certification follow.
Hospice certification: CCN 221536
- Legal name
- SOUTHCOAST VISITING NURSE ASSOCIATION, INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Mar 16, 1993
- Last certification
- Dec 21, 2021
- Ownership / control type
- Other
- Organization structure
- Corporation
- Incorporated
- Dec 1, 2011 in MA
- Enrollment address
- 200 Mill Rd
Ste 120
Fairhaven, MA 02719-5252
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Home Health Agency
- Fairhaven, MA
- NPI 1104937697
5193637189
Care Compare: Hospice
Medicare Care Compare- Listed as
- Hospice and Palliative Care
- Ownership
- Non-Profit
- Certified
- Mar 16, 1993
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Hospice and Palliative Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Fairhaven, MA
- NPI 1104937697
Locations
502 Bedford St
Fall River, MA 02720
Phone (508) 676-8251
502 Bedford St
Ste 14
Fall River, MA 02720
Phone (508) 676-8251
Ownership & related parties
All disclosed owners & managing parties 8
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Patricia Buiocchi | Corporate Officer | Apr 30, 2024 | |
| Corporate Director | Apr 30, 2024 | ||
| W-2 Managing Employee | Apr 30, 2024 | ||
| Operational/Managerial Control | Apr 30, 2024 | ||
| Other | Apr 30, 2024 | ||
| Renee Clark | Corporate Director | Apr 1, 2022 | |
| Tracy Jean Lawler | Corporate Director | Apr 30, 2024 | |
| Mark Shparber | Corporate Director | Apr 1, 2024 | |
| W-2 Managing Employee | Apr 4, 2024 | ||
| Tanya Moniz | Corporate Director | Apr 30, 2024 | |
| W-2 Managing Employee | Apr 30, 2024 | ||
| Sophia H Rizk | Corporate Director | Apr 30, 2024 | |
| Linda Fagioli | Operational/Managerial Control | May 1, 2022 | |
| Chandra S Reddivari | Corporate Director | Apr 1, 2022 | |
| W-2 Managing Employee | Apr 4, 2024 |
Owners & managing parties with NPI records 3
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- North Dartmouth, MA
- NPI 1477522290
Corporate Director, W-2 Managing Employee
-
- Hematology & Oncology Physician
- Fall River, MA
- NPI 1982614160
Corporate Director, W-2 Managing Employee
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Fall River, MA
- NPI 1730337551
Affiliated clinicians 96
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Critical Care Medicine (Internal Medicine) Physician
- Fairhaven, MA
- NPI 1689766016
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762300800000",
"number": "1801990452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MILL RD STE 120",
"city": "FAIRHAVEN",
"state": "MA",
"postal_code": "027195252",
"telephone_number": "508-973-3200",
"fax_number": "508-973-3215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MILL ROAD, SUITE 120",
"city": "FAIRHAVEN",
"state": "MA",
"postal_code": "02719",
"telephone_number": "508-973-3210",
"fax_number": "508-973-3215"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHCOAST VISITING NURSE ASSOCIATION, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-12",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "FERNANDA",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "508-973-3200"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "RI",
"license": "1612",
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "MA",
"license": "7223",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTH",
"identifier": "0469887",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH CA",
"identifier": "700288",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH CA",
"identifier": "700288",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC HEALTHNET",
"identifier": "000000021841",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "6001001",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "6001001",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTH",
"identifier": "0469887",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "VN26573",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RI BLUE CROSS/BLUE SHIELD",
"identifier": "5813-1",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFT'S HEALTH PLAN",
"identifier": "805736",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRISTOL ELDER SERVICES",
"identifier": "0605492",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0605492",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "221536",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFT'S HEALTH PLAN",
"identifier": "805736",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENIOR WHOLE HEALTH",
"identifier": "003493",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hospice and Palliative Care",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Hospice and Palliative Care",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Fairhaven, MA
- Southcoast Hospitals Group, Inc
- Southcoast Long-Term Care Services, Inc. (Alden Court Nursing Care and Rehabilitation Center)
- Southcoast Physicians Group, Inc.
- Southcoast Physicians Group, Inc.
- Southcoast Physicians Group, Inc. (Southcoast Urgent Care Center)
- Southcoast Visiting Nurse Association. Inc
- Meagan Souza, LMT
- Alyson L Sparrow
- Megan L Specht-Benbenek
- Matthew Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.