Organization
BROCKTON VISITING NURSE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY PAVASARIS (PRESIDENT)
(508) 894-5284
Entity
Organization
Contact information
Practice address
500 BELMONT ST, STE 200, BROCKTON, MA 02301-4985
(508) 587-2121
Mailing address
500 BELMONT ST, STE 200, BROCKTON, MA 02301-4985
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
227006
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000005536
BMC HEALTHNET PROVIDER #
MA
01
—
0007361
NHP PROVIDER #
MA
01
—
0409668
CIGNA HEALTH PLAN PROV #
MA
05
—
0600717
—
MA
01
—
120L18
BCBSMA PROVIDER #
MA
01
—
4506370
AETNA PROVIDER #
—
01
—
60-00143
UNITED HEALTCARE PROV #
MA
01
—
700045
HARVARD HEATLHCARE PROV #
MA
01
—
800555
TUFTS PROVIDER #
MA
Enumeration date
05/23/2005
Last updated
02/10/2010
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