Provider Demographics
NPI:1386645323
Name:VISITING NURSE ASSOCIATION OF SAINT LUKES HOME HEALTH HOSPICE INC
Entity Type:Organization
Organization Name:VISITING NURSE ASSOCIATION OF SAINT LUKES HOME HEALTH HOSPICE INC
Other - Org Name:ST. LUKE'S HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:GIOVANNI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:484-526-1100
Mailing Address - Street 1:240 UNION STATION PLZ
Mailing Address - Street 2:FIRST FLOOR
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18015-1281
Mailing Address - Country:US
Mailing Address - Phone:484-526-1100
Mailing Address - Fax:484-526-2810
Practice Address - Street 1:240 UNION STATION PLZ
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18015-1281
Practice Address - Country:US
Practice Address - Phone:484-526-1100
Practice Address - Fax:484-526-2810
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ST. LUKE'S HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-08-01
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA700205251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100746136Medicaid
PA100746136Medicaid