OrganizationActiveAccepts Medicare
Southcoast Visiting Nurse Association. Inc
NPI 1104937697 · Home Health Agency · Fairhaven, MA
Enrolled with Medicare as Part a Provider - Home Health Agency · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1104937697
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Fernanda Johnson, President/Ceo(508) 973-3200
- License
- 2211 (RI)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
200 Mill Road, Suite 120
Fairhaven, MA 02719
Phone: (508) 973-3210
Fax: (508) 973-3215
Street-level locationGet directions
Mailing address
200 Mill Rd Ste 120
Fairhaven, MA 02719-5252
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2025-11-05
- Certified
- 2025-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.