Provider Demographics
NPI:1083793566
Name:VNA HOME CARE SERVICES
Entity Type:Organization
Organization Name:VNA HOME CARE SERVICES
Other - Org Name:VNA HOME CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:C
Authorized Official - Last Name:GREISLER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:716-630-8000
Mailing Address - Street 1:650 AIRBORNE PARKWAY
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14225-1434
Mailing Address - Country:US
Mailing Address - Phone:716-630-8000
Mailing Address - Fax:716-630-8660
Practice Address - Street 1:650 AIRBORNE PARKWAY
Practice Address - Street 2:
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14225-1434
Practice Address - Country:US
Practice Address - Phone:716-630-8000
Practice Address - Fax:716-630-8660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
NY0229603336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01799637Medicaid
5801510OtherNCPDP PROVIDER IDENTIFICATION NUMBER
5801510OtherNCPDP PROVIDER IDENTIFICATION NUMBER