Southcoast Visiting Nurse Association. INC
Home Health in Fairhaven, MA. Organization (NPI-2).
NPI number1104937697
StatusActive
Last updated in NPPESNov 5, 2025
Details
- NPI
- 1104937697
- Entity type
- Organization (NPI-2)
- Legal business name
- Southcoast Visiting Nurse Association. INC
- Organization subpart
- No
- Enumeration date
- Aug 31, 2006
- Certification date
- Nov 5, 2025
- Last updated
- Nov 5, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART A PROVIDER - HOME HEALTH AGENCY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | 2211 | RI | Yes |
Practice location
200 Mill Road, Suite 120Fairhaven, MA 02719
Phone 508-973-3210 · Fax 508-973-3215
Mailing address
200 Mill Rd Ste 120Fairhaven, MA 02719-5252
Phone 508-973-3200 · Fax 508-973-3215
Authorized official
Fernanda Johnson
President/Ceo
5089733200
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