Organization
VINONAGROUPSERVICESUSA,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDY N JOHNSON CNA,CHHA (OWNER & CEO)
(508) 584-4499
Entity
Organization
Contact information
Practice address
109 MANOMET ST, BROCKTON, MA 02301-5024
(508) 584-4499
(508) 587-8338
Mailing address
109 MANOMET ST, BROCKTON, MA 02301-5024
(508) 584-4499
(508) 587-8338
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
MA
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
MA
163WC0400X
Case Management Registered Nurse
—
MA
163WH0200X
Home Health Registered Nurse
—
MA
164W00000X
Licensed Practical Nurse
—
MA
171M00000X
Case Manager/Care Coordinator
—
MA
251E00000X
Home Health Agency
—
MA
372500000X
Chore Provider
—
MA
372600000X
Adult Companion
—
MA
3747A0650X
Attendant Care Provider
—
MA
3747P1801X
Personal Care Attendant
—
MA
374U00000X
Home Health Aide
—
MA
376J00000X
Homemaker
—
MA
376K00000X
Nurse's Aide
Primary
436587588A
MA
376K00000X
Nurse's Aide
—
MA
Other
Enumeration date
01/22/2009
Last updated
01/22/2009
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