Provider Demographics
NPI:1083951230
Name:VNA HOMECARE, INC.
Entity Type:Organization
Organization Name:VNA HOMECARE, INC.
Other - Org Name:TIP HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR FOR BILLING AND COLLECTION
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBINE
Authorized Official - Middle Name:A
Authorized Official - Last Name:CARRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-595-6809
Mailing Address - Street 1:500 W PINE ST
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:MO
Mailing Address - Zip Code:63640-1426
Mailing Address - Country:US
Mailing Address - Phone:573-747-1177
Mailing Address - Fax:
Practice Address - Street 1:500 W PINE ST
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:MO
Practice Address - Zip Code:63640-1426
Practice Address - Country:US
Practice Address - Phone:573-747-1177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-08
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO135-2HO251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO826171308Medicaid
MO826171308Medicaid