Provider Demographics
NPI:1477762276
Name:VISITING NURSE COMMUNITY SERVICES
Entity Type:Organization
Organization Name:VISITING NURSE COMMUNITY SERVICES
Other - Org Name:SANTA CLARITA ADULT DAY HEALTH CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:WILMA
Authorized Official - Middle Name:JUNE
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-837-3775
Mailing Address - Street 1:732 MOTT ST STE 150
Mailing Address - Street 2:
Mailing Address - City:SAN FERNANDO
Mailing Address - State:CA
Mailing Address - Zip Code:91340-4241
Mailing Address - Country:US
Mailing Address - Phone:818-837-3775
Mailing Address - Fax:818-837-3799
Practice Address - Street 1:732 MOTT ST STE 150
Practice Address - Street 2:
Practice Address - City:SAN FERNANDO
Practice Address - State:CA
Practice Address - Zip Code:91340-4241
Practice Address - Country:US
Practice Address - Phone:818-837-3775
Practice Address - Fax:818-837-3799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174H00000X
CA060000601261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day CareGroup - Single Specialty