1013076009 NPI number — THE VISITING NURSE ASSOCIATION OF TEXAS

Table of content: (NPI 1013076009)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013076009 NPI number — THE VISITING NURSE ASSOCIATION OF TEXAS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE VISITING NURSE ASSOCIATION OF TEXAS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
VNA OF TEXAS
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1013076009
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1440 W MOCKINGBIRD LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75247-6911
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
214-689-0000
Provider Business Mailing Address Fax Number:
214-689-2300

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1600 VICEROY DR
Provider Second Line Business Practice Location Address:
SUITE 400
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75235-2306
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-689-0000
Provider Business Practice Location Address Fax Number:
214-689-2300
Provider Enumeration Date:
12/06/2006

Additional Information

Authorized Official

Authorized Official Last Name:
CARPENTER
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
PAUL
Authorized Official Title or Position:
PRESIDENT AND CEO
Authorized Official Telephone Number:
214-689-0000

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  3056 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 251E00000X , with the licence number: 3625 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 251G00000X , with the licence number: 1531 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 251V00000X , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000200600 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 001012532 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000051400 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: HH6987 . This is a "BC-BS HOSPICE (FT. WORTH)" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 000154300 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 001000881 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: HH6906 . This is a "BC-BS HOSPICE (DALLAS)" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: HH6988 . This is a "BC-BS HOSPICE (MCKINNEY)" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: HH6989 . This is a "BC-BS HOSPICE (KAUFMAN)" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: HH6925 . This is a "BC-BS HOSPICE (DENTON)" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 10028135 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 121890101 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000661200 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: HH9014 . This is a "BC-BS HOME HEALTH-DENTON" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 001012529 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 012101401 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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