Provider Demographics
NPI:1346299278
Name:VISITING NURSE ASSOCIATION
Entity Type:Organization
Organization Name:VISITING NURSE ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:KOMP
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:937-222-3381
Mailing Address - Street 1:222 SALEM AVE
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45406-5805
Mailing Address - Country:US
Mailing Address - Phone:937-222-3381
Mailing Address - Fax:937-222-6341
Practice Address - Street 1:222 SALEM AVE
Practice Address - Street 2:SUITE 2A
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45406-5805
Practice Address - Country:US
Practice Address - Phone:937-222-3381
Practice Address - Fax:937-222-6341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-08
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH368176Medicare Oscar/Certification