# PORTLAND VISITING NURSE ASSOCIATION, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902887490
- **Authorized official:** MR. BARRY M SIMON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (860) 343-5300

## Contact information

- **Practice address:** 309 MAIN ST, PORTLAND, CT 06480-1856
- **Practice address phone:** (860) 342-3300
- **Practice address fax:** (860) 342-4864
- **Mailing address:** 222 MAIN STREET EXT, P.O. BOX 1000, MIDDLETOWN, CT 06457-4406
- **Mailing address phone:** (860) 343-5300
- **Mailing address fax:** (860) 343-5306

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | C804910 | CT | Yes |

## Other

- **Enumeration date:** 11/10/2005
- **Last updated:** 08/22/2020