Portland Visiting Nurse Association, Inc.
Organization Active NPI Home Health Agency · Portland, CT
NPI 1902887490 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1902887490
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- C804910 (CT)
- Legal business name
- PORTLAND VISITING NURSE ASSOCIATION, INC.
- Practice address
- 309 Main St
Portland, CT 06480-1856 - Phone
- (860) 342-3300
- Fax
- (860) 342-4864
- NPI assigned
- Nov 10, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Barry M Simon
- Title
- Executive Director
- Phone
- (860) 343-5300
Member of 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | C804910 | CT | Yes |
Addresses
Primary practice location
309 Main St
Portland, CT 06480-1856
Mailing address
222 Main Street Ext
P.O. Box 1000
Middletown, CT 06457-4406
Phone (860) 343-5300
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All providers in Portland, CT · Home Health Agency in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.