Provider Demographics
NPI:1831398908
Name:VAN PRIVATE CARE SENIOR CARE ALTERNATIVES
Entity type:Organization
Organization Name:VAN PRIVATE CARE SENIOR CARE ALTERNATIVES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER-VNA PRIVATE CARE
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:MORTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-431-1484
Mailing Address - Street 1:44 WASHINGTON ST.
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02481
Mailing Address - Country:US
Mailing Address - Phone:781-431-1484
Mailing Address - Fax:781-237-4505
Practice Address - Street 1:44 WASHINGTON ST.
Practice Address - Street 2:
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02481
Practice Address - Country:US
Practice Address - Phone:781-431-1484
Practice Address - Fax:781-237-4505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-17
Last Update Date:2010-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA7234OtherLICENSE MASS OCCUPATIONAL