Provider Demographics
NPI:1104937697
Name:SOUTHCOAST VISITING NURSE ASSOCIATION. INC
Entity type:Organization
Organization Name:SOUTHCOAST VISITING NURSE ASSOCIATION. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUIOCCHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-973-3200
Mailing Address - Street 1:200 MILL ROAD, SUITE 120
Mailing Address - Street 2:
Mailing Address - City:FAIRHAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02719
Mailing Address - Country:US
Mailing Address - Phone:508-973-3210
Mailing Address - Fax:508-973-3215
Practice Address - Street 1:200 MILL ROAD, SUITE 120
Practice Address - Street 2:
Practice Address - City:FAIRHAVEN
Practice Address - State:MA
Practice Address - Zip Code:02719
Practice Address - Country:US
Practice Address - Phone:508-973-3210
Practice Address - Fax:508-973-3215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI2211251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0007826OtherNEIGHBORHOOD HEALTH PLAN
RIVN01327Medicaid
MA800878OtherTUFT'S
MA0603082OtherBRISTOL ELDER SERVICES
RI201491OtherBLUE CHIP
MA60-00162OtherUNITED HEALTH
RI800878OtherTUFT'S
MA700288OtherPILGRIM HEALTH CARE
RI60-00162OtherUNITED HEALTH
MA001212OtherSENIOR WHOLE HEALTH
RIVN23910OtherRI DPT HUMAN SERVICE
MA000000021838OtherBMC HEALTHNET PLAN
MA0469887OtherUS HEALTHCARE
MA0603082Medicaid
RI5813-1OtherRI BLUE CROSS
MA120-101OtherHMO BLUE-BC/BS
RI800878OtherTUFT'S
MA0603082Medicaid
MA227101Medicare ID - Type UnspecifiedMEDICARE