Provider Demographics
NPI: | 1508826983 |
---|---|
Name: | VNA HEALTH CARE |
Entity Type: | Organization |
Organization Name: | VNA HEALTH CARE |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | AVP OF PRACTICE MANAGEMENT SYSTEMS |
Authorized Official - Prefix: | |
Authorized Official - First Name: | TAMMY |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | SPOONER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 630-978-2532 |
Mailing Address - Street 1: | 400 N HIGHLAND AVE |
Mailing Address - Street 2: | |
Mailing Address - City: | AURORA |
Mailing Address - State: | IL |
Mailing Address - Zip Code: | 60506 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 630-978-2532 |
Mailing Address - Fax: | 630-978-2709 |
Practice Address - Street 1: | 400 N HIGHLAND AVE |
Practice Address - Street 2: | |
Practice Address - City: | AURORA |
Practice Address - State: | IL |
Practice Address - Zip Code: | 60506 |
Practice Address - Country: | US |
Practice Address - Phone: | 630-978-2532 |
Practice Address - Fax: | 630-978-2709 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2006-03-28 |
Last Update Date: | 2016-11-18 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
208D00000X, 261QF0400X | ||
IL | 1001650 | 251E00000X |
IL | 2001196 | 251G00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | Group - Multi-Specialty | |
No | 251E00000X | Agencies | Home Health | ||
No | 251G00000X | Agencies | Hospice Care, Community Based | ||
No | 261QF0400X | Ambulatory Health Care Facilities | Clinic/Center | Federally Qualified Health Center (FQHC) | Group - Multi-Specialty |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
IL | 973471 | Medicare Oscar/Certification | |
IL | 141007 | Medicare Oscar/Certification | |
IL | 147000 | Medicare Oscar/Certification | |
781806 | Medicare Oscar/Certification | ||
IL | 141005 | Medicare Oscar/Certification | |
IL | 141189 | Medicare Oscar/Certification | |
IL | 781806 | Medicare Oscar/Certification | |
IL | 141190 | Medicare Oscar/Certification | |
IL | 141191 | Medicare Oscar/Certification | |
IL | 209877 | Medicare Oscar/Certification | |
IL | 581670 | Medicare Oscar/Certification | |
IL | 586610 | Medicare Oscar/Certification | |
781804 | Medicare Oscar/Certification | ||
IL | 141008 | Medicare Oscar/Certification | |
IL | 141188 | Medicare Oscar/Certification | |
IL | 209897 | Medicare Oscar/Certification | |
IL | 781803 | Medicare Oscar/Certification | |
781805 | Medicare Oscar/Certification | ||
IL | 781850 | Medicare Oscar/Certification | |
IL | 141162 | Medicare Oscar/Certification | |
IL | 141553 | Medicare Oscar/Certification | |
IL | 141980 | Medicare Oscar/Certification | |
IL | 141006 | Medicare Oscar/Certification | |
IL | 141159 | Medicare Oscar/Certification | |
IL | 586600 | Medicare Oscar/Certification | |
781803 | Medicare Oscar/Certification | ||
IL | 202595 | Medicare Oscar/Certification | |
781816 | Medicare Oscar/Certification |