1235199654 NPI number — VNA-COMMUNITY SERVICES, INC.

Table of content: (NPI 1235199654)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235199654 NPI number — VNA-COMMUNITY SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VNA-COMMUNITY SERVICES, INC.
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:
Provider Other Organization Name Type Code:
6
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:
1235199654
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/08/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1421 HIGHLAND AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ABINGTON
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19001-2610
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-572-7880
Provider Business Mailing Address Fax Number:
215-572-8024

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1109 DEKALB ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORRISTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19401-3849
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-277-8911
Provider Business Practice Location Address Fax Number:
610-292-9160
Provider Enumeration Date:
03/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
CIRKO
Authorized Official First Name:
RICHARD
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
215-572-7880

Provider Taxonomy Codes

  • Taxonomy code: 208000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363L00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0016368600002 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1693749 . This is a "HIGHMARK BLUE SHIELD-MD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 2400357002 . This is a "KEYSTONE HEALTH PLAN EAST" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1037013 . This is a "KEYSTONE MERCY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 2400357002 . This is a "INDEPENDENCE BLUE CROSS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 27329 . This is a "HEALTH PARTNERS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: VN1693751 . This is a "HIGHMARK BLUE SHIELD-CRNP" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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