Provider Demographics
NPI:1285835744
Name:VISITING NURSE ASSOCIATION OF BROOKLYN, INC
Entity Type:Organization
Organization Name:VISITING NURSE ASSOCIATION OF BROOKLYN, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MAXINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOCHHAUSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-923-7101
Mailing Address - Street 1:15 METROTECH CTR
Mailing Address - Street 2:11TH FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-3818
Mailing Address - Country:US
Mailing Address - Phone:718-923-7100
Mailing Address - Fax:718-923-5518
Practice Address - Street 1:15 METROTECH CTR
Practice Address - Street 2:11TH FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-3818
Practice Address - Country:US
Practice Address - Phone:718-923-7100
Practice Address - Fax:718-923-5518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7001600251E00000X
NY7001903L251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00713497Medicaid
NY00713497Medicaid