Organization
PLYMOUTH VISITING NURSE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH BLANCHET R.N. (ADMINISTRATIVE SUPERVISOR)
(860) 585-4026
Entity
Organization
Contact information
Practice address
244 MAIN ST, TERRYVILLE, CT 06786-5901
(860) 585-4026
(860) 585-4063
Mailing address
244 MAIN ST, TERRYVILLE, CT 06786-5901
(860) 585-4026
(860) 585-4063
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
C81911
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004PPHA103
CCCI
CT
01
—
4040027
STATE FUNDED ELDERLY PROG
CT
05
—
4043154
—
CT
01
—
685 ZG
ANTHEM BC BS OF CT
CT
01
—
68VNA0074CT01
ANTHEM BC BS OF CT
CT
Enumeration date
08/31/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us