Provider Demographics
NPI: | 1376987545 |
---|---|
Name: | VISITING NURSES AGENCY, LLC |
Entity Type: | Organization |
Organization Name: | VISITING NURSES AGENCY, LLC |
Other - Org Name: | VISITING NURSES AGENCY OF GREATER NEW ORLEANS |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | MRS |
Authorized Official - First Name: | DELPHENIA |
Authorized Official - Middle Name: | MONTGOMERY |
Authorized Official - Last Name: | LODIONG |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MBA |
Authorized Official - Phone: | 504-261-7602 |
Mailing Address - Street 1: | 101 W ROBERT E LEE BLVD |
Mailing Address - Street 2: | SUITE 300 |
Mailing Address - City: | NEW ORLEANS |
Mailing Address - State: | LA |
Mailing Address - Zip Code: | 70124-2459 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 504-282-2008 |
Mailing Address - Fax: | 504-282-2009 |
Practice Address - Street 1: | 101 W ROBERT E LEE BLVD |
Practice Address - Street 2: | SUITE 300 |
Practice Address - City: | NEW ORLEANS |
Practice Address - State: | LA |
Practice Address - Zip Code: | 70124-2459 |
Practice Address - Country: | US |
Practice Address - Phone: | 504-282-2008 |
Practice Address - Fax: | 504-282-2009 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2013-04-18 |
Last Update Date: | 2013-05-02 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251E00000X | Agencies | Home Health |