Bethel Visiting Nurse Association Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

C805410 Issued in CT

Legal business name

BETHEL VISITING NURSE ASSOCIATION INC.

Practice address

70 Stony Hill Rd
Bethel, CT 06801-3036

Phone

(203) 792-0864

Fax

(203) 730-8053

NPI assigned

Sep 13, 2005

Last updated

Jun 4, 2010By 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. Judith L Malin, RN

Title

Executive Director

Phone

(203) 792-0864

Specialties & licenses 1

Addresses

Other identifiers 7

Locations

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1881689180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 STONY HILL RD",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068013036",
            "telephone_number": "203-792-0864",
            "fax_number": "203-730-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 STONY HILL RD",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068013036",
            "telephone_number": "203-792-0864",
            "fax_number": "203-730-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL VISITING NURSE ASSOCIATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "MALIN",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "203-792-0864",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CT",
            "license": "C805410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "765195",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "782135",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "653 BV",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN",
            "identifier": "A785425",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT COMMUNITY CARE",
            "identifier": "004042545",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004042545",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY HEALTH PLAN",
            "identifier": "P09360",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Bethel, CT
• Providers in Bethel, 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 Jun 4, 2010; 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.