Provider Demographics
NPI:1386640597
Name:ALL CARE VISITING NURSE ASSOCIATION OF GREATER LYNN INC.
Entity type:Organization
Organization Name:ALL CARE VISITING NURSE ASSOCIATION OF GREATER LYNN INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JO-MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:KOOPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-598-2454
Mailing Address - Street 1:210 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01901-1536
Mailing Address - Country:US
Mailing Address - Phone:781-598-2454
Mailing Address - Fax:781-586-1639
Practice Address - Street 1:210 MARKET ST
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01901-1536
Practice Address - Country:US
Practice Address - Phone:781-598-2454
Practice Address - Fax:781-586-1639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA702778OtherTUFTS HEALTH PLAN
MA581177OtherAETNA HMO/PPO
MA0600822Medicaid
MA120012OtherBLUE CROSS BLUE SHIELD
MA20280OtherBOSTON MEDICAL HEALTHNET
MA702042OtherHARVARD COMM. HEALTH PLAN
MA32144OtherFALLON COMMUNITY HEALTH
MA0007532OtherNEIGHBORHOOD HEALTH PLAN
MA0600822Medicaid