Noble Visiting Nurse and Hospice Services, Inc.

Organization Active NPI Community Based Hospice Care Agency · Westfield, MA

NPI 1861594079 · NPPES record last updated Feb 3, 2010

Key facts

NPI
1861594079
Entity type
Organization (NPI type 2)
Primary specialty
Community Based Hospice Care Agency 251G00000X
License
7Q9E (MA)
Legal business name
NOBLE VISITING NURSE AND HOSPICE SERVICES, INC.
Practice address
77 Mill St
Suite 201
Westfield, MA 01085-4598
Phone
(413) 562-7049
Fax
(413) 568-9434
NPI assigned
Sep 1, 2006
Organization subpart
No

Authorized official

Name
Mr. David M. Mol
Title
Executive Director
Phone
(413) 562-7049

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

National Provider Directory

Locations

77 Mill St
Ste 201
Westfield, MA 01085
Phone (413) 562-7049

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Community Based Hospice Care Agency 251G00000X 7Q9E MA Yes

Addresses

Primary practice location

77 Mill St
Suite 201
Westfield, MA 01085-4598

Mailing address

77 Mill St
Suite 201
Westfield, MA 01085-4598
Phone (413) 562-7049

Other identifiers

IdentifierTypeStateIssuer
110024332AMedicaidMA
110024332BMedicaidMA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 3, 2010.

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1861594079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 MILL ST",
            "address_2": "SUITE 201",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010854598",
            "telephone_number": "413-562-7049",
            "fax_number": "413-568-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 MILL ST",
            "address_2": "SUITE 201",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010854598",
            "telephone_number": "413-562-7049",
            "fax_number": "413-568-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE VISITING NURSE AND HOSPICE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "MOL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "413-562-7049",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MA",
            "license": "7Q9E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110024332A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110024332B",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, MA

All providers in Westfield, MA · Community Based Hospice Care Agency in Massachusetts

Sources for this page

Verify at the official NPI Registry.