Provider Demographics
NPI:1124185491
Name:NEIGHBORHOOD VISITING NURSE ASSOCIATION
Entity Type:Organization
Organization Name:NEIGHBORHOOD VISITING NURSE ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVOTI
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, MBA
Authorized Official - Phone:610-696-6511
Mailing Address - Street 1:795 E MARSHALL ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-4400
Mailing Address - Country:US
Mailing Address - Phone:610-696-6511
Mailing Address - Fax:610-344-7064
Practice Address - Street 1:795 E MARSHALL ST
Practice Address - Street 2:SUITE 204
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-4400
Practice Address - Country:US
Practice Address - Phone:610-696-6511
Practice Address - Fax:610-344-7064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA159099251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007769590002Medicaid
PA0002867000OtherIBC HOSPICE
PA0032145OtherAETNA HOSPICE
PA0032145OtherAETNA HOSPICE