Provider Demographics
NPI:1053311092
Name:VISITING NURSE SERVICES IN WESTCHESTER, INC.
Entity Type:Organization
Organization Name:VISITING NURSE SERVICES IN WESTCHESTER, INC.
Other - Org Name:VNSW
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT & CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:P
Authorized Official - Last Name:LEDDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-682-1480
Mailing Address - Street 1:360 MAMARONECK AVE
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-1708
Mailing Address - Country:US
Mailing Address - Phone:914-682-1480
Mailing Address - Fax:914-682-1477
Practice Address - Street 1:360 MAMARONECK AVE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-1708
Practice Address - Country:US
Practice Address - Phone:914-682-1480
Practice Address - Fax:914-682-1477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-29
Last Update Date:2017-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5902606251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00321999Medicaid
NY5902606Medicaid
NY00321999Medicaid