Provider Demographics
NPI:1376536011
Name:VNA EXTENDED CARE SERVICES, INC
Entity Type:Organization
Organization Name:VNA EXTENDED CARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEINER
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:814-297-8541
Mailing Address - Street 1:PO BOX 100
Mailing Address - Street 2:405 MAIN STREET
Mailing Address - City:SHIPPENVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16254-0100
Mailing Address - Country:US
Mailing Address - Phone:814-782-3036
Mailing Address - Fax:814-782-3957
Practice Address - Street 1:405 MAIN STREET
Practice Address - Street 2:
Practice Address - City:SHIPPENVILLE
Practice Address - State:PA
Practice Address - Zip Code:16254-0100
Practice Address - Country:US
Practice Address - Phone:814-297-8400
Practice Address - Fax:814-782-3957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-29
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA01040500251E00000X
261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1000074990001Medicaid
PA1000074990004Medicaid
PA100007499Medicaid
PA1000074990008Medicaid