Provider Demographics
NPI:1437254893
Name:VISITING NURSE ASSOCIATION OF CENTRAL PA INC
Entity Type:Organization
Organization Name:VISITING NURSE ASSOCIATION OF CENTRAL PA INC
Other - Org Name:CROSSINGS HOSPICE OF THE VNA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FINANCIAL MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCCREARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-233-1035
Mailing Address - Street 1:3315 DERRY ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17111-1868
Mailing Address - Country:US
Mailing Address - Phone:717-920-9760
Mailing Address - Fax:717-920-9630
Practice Address - Street 1:3315 DERRY ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17111-1868
Practice Address - Country:US
Practice Address - Phone:717-920-9760
Practice Address - Fax:717-920-9630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA160699251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA391606Medicare ID - Type UnspecifiedMEDICARE HOSPICE NUMBER