Provider Demographics
NPI:1558358606
Name:VISITING NURSE ASSOCIATION OF ERIE COUNTY
Entity Type:Organization
Organization Name:VISITING NURSE ASSOCIATION OF ERIE COUNTY
Other - Org Name:VNA HOSPICE SERVICES OF ERIE COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:N
Authorized Official - Last Name:O'BRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:814-454-2831
Mailing Address - Street 1:2253 W GRANDVIEW BLVD
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16506-4507
Mailing Address - Country:US
Mailing Address - Phone:814-454-2831
Mailing Address - Fax:814-453-5357
Practice Address - Street 1:2253 W GRANDVIEW BLVD
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16506-4507
Practice Address - Country:US
Practice Address - Phone:814-454-2831
Practice Address - Fax:814-453-5357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-04
Last Update Date:2015-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA158199251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01485532Medicaid
PA391581Medicare ID - Type UnspecifiedHOSPICE