Provider Demographics
NPI:1962522060
Name:VNA VALLEY CARE, INC.
Entity type:Organization
Organization Name:VNA VALLEY CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:INCY
Authorized Official - Middle Name:S
Authorized Official - Last Name:MUIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-651-3539
Mailing Address - Street 1:8 OLD MILL LN
Mailing Address - Street 2:
Mailing Address - City:SIMSBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06070-1932
Mailing Address - Country:US
Mailing Address - Phone:860-651-3539
Mailing Address - Fax:860-651-5082
Practice Address - Street 1:8 OLD MILL LN
Practice Address - Street 2:
Practice Address - City:SIMSBURY
Practice Address - State:CT
Practice Address - Zip Code:06070-1932
Practice Address - Country:US
Practice Address - Phone:860-651-3539
Practice Address - Fax:860-651-5082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2008-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTC804810251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004042693Medicaid
CT07-7176Medicare ID - Type UnspecifiedHOME CARE PROVIDER NUMBER
CT07-1515Medicare ID - Type UnspecifiedHOSPICE PROVIDER NUMBER
CT071515Medicare Oscar/Certification