1558358606 NPI number — VISITING NURSE ASSOCIATION OF ERIE COUNTY

Table of content: (NPI 1558358606)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558358606 NPI number — VISITING NURSE ASSOCIATION OF ERIE COUNTY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VISITING NURSE ASSOCIATION OF ERIE COUNTY
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 HOSPICE SERVICES OF ERIE COUNTY
Provider Other Organization Name Type Code:
3
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:
1558358606
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/27/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2253 W GRANDVIEW BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ERIE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
16506-4507
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
814-454-2831
Provider Business Mailing Address Fax Number:
814-453-5357

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2253 W GRANDVIEW BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ERIE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16506-4507
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-454-2831
Provider Business Practice Location Address Fax Number:
814-453-5357
Provider Enumeration Date:
10/04/2005

Additional Information

Authorized Official

Authorized Official Last Name:
O'BRIEN
Authorized Official First Name:
CHRISTINE
Authorized Official Middle Name:
N
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
814-454-2831

Provider Taxonomy Codes

  • Taxonomy code: 251G00000X , with the licence number:  158199 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 01485532 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com