Provider Demographics
NPI:1083619266
Name:VNA HOME CARE OF MERCER COUNTY, INC
Entity Type:Organization
Organization Name:VNA HOME CARE OF MERCER COUNTY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:W
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-698-3726
Mailing Address - Street 1:2 S GOLD DR STE B
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08691-1633
Mailing Address - Country:US
Mailing Address - Phone:609-695-3461
Mailing Address - Fax:609-695-4222
Practice Address - Street 1:2 S GOLD DR STE B
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08691-1633
Practice Address - Country:US
Practice Address - Phone:609-695-3461
Practice Address - Fax:609-695-4222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-15
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
NJ71102251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7180608Medicaid
NJ3688224Medicaid
NJ317016Medicare ID - Type UnspecifiedMEDICARE PROVIDER