Provider Demographics
NPI:1104919968
Name:VISITING NURSE ASSOC OF CAPE COD
Entity type:Organization
Organization Name:VISITING NURSE ASSOC OF CAPE COD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:KOLD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:509-957-7450
Mailing Address - Street 1:255 INDEPENDENCE DRIVE
Mailing Address - Street 2:
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601
Mailing Address - Country:US
Mailing Address - Phone:509-957-7400
Mailing Address - Fax:508-771-4016
Practice Address - Street 1:290 ROUTE 130
Practice Address - Street 2:
Practice Address - City:SANDWICH
Practice Address - State:MA
Practice Address - Zip Code:02563
Practice Address - Country:US
Practice Address - Phone:508-833-2255
Practice Address - Fax:508-833-0898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1905376Medicaid