Organization
SOUTHCOAST VISITING NURSE ASSOCIATION. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDA JOHNSON PT, DPT (PRESIDENT/CEO)
(508) 973-3200
Entity
Organization
Contact information
Practice address
200 MILL ROAD, SUITE 120, FAIRHAVEN, MA 02719
(508) 973-3210
(508) 973-3215
Mailing address
200 MILL RD STE 120, FAIRHAVEN, MA 02719-5252
(508) 973-3200
(508) 973-3215
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2211
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000021838
BMC HEALTHNET PLAN
MA
01
—
0007826
NEIGHBORHOOD HEALTH PLAN
MA
01
—
001212
SENIOR WHOLE HEALTH
MA
01
—
0469887
US HEALTHCARE
MA
01
—
0603082
BRISTOL ELDER SERVICES
MA
05
—
0603082
—
MA
01
—
120-101
HMO BLUE-BC/BS
MA
01
—
201491
BLUE CHIP
RI
01
—
5813-1
RI BLUE CROSS
RI
01
—
60-00162
UNITED HEALTH
MA
01
—
60-00162
UNITED HEALTH
RI
01
—
700288
PILGRIM HEALTH CARE
MA
01
—
800878
TUFT'S
MA
01
—
800878
TUFT'S
RI
05
—
VN01327
—
RI
01
—
VN23910
RI DPT HUMAN SERVICE
RI
Enumeration date
08/31/2006
Last updated
11/05/2025
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