Provider Demographics
NPI:1376587667
Name:VISITING NURSE SERVICE, INC.
Entity Type:Organization
Organization Name:VISITING NURSE SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:L
Authorized Official - Last Name:MULLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-848-6203
Mailing Address - Street 1:1 HOME CARE PL
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44320-3901
Mailing Address - Country:US
Mailing Address - Phone:330-745-1601
Mailing Address - Fax:330-848-6211
Practice Address - Street 1:1 HOME CARE PL
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320-3901
Practice Address - Country:US
Practice Address - Phone:330-745-1601
Practice Address - Fax:330-848-6211
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMMUNITY HEALTH VENTURES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-16
Last Update Date:2014-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH77123107251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9072953Medicaid
OH367016OtherMEDICARE PART A #