Individual ProviderVincent HollisterSocial WorkerBehavioral Health & Social Service ProvidersPractice Address41 Mechanic St, Windsor, CT 06095-2545(860) 493-3068(860) 749-7795PECOS EnrollmentBased on the most recent information from CMS, provider Vincent Hollister is legally eligible to order and refer claims for DME services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1992121644Provider TypeIndividualFull NameHollister, VincentCredentialMSWGenderMaleSole ProprietorNoEnumeration Date3/5/2014Last Updated7/19/2019Contact InformationPractice LocationPractice Address41 Mechanic St, Windsor, CT 06095-2545Phone(860) 493-3068Fax(860) 493-3068Mailing LocationMailing Address99 Highland View Dr, Somers, CT 06071-1557Phone(860) 749-7795FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense8818Connecticut