Provider Demographics
NPI:1568543965
Name:VNA AN AFFILIATE OF WVHCS
Entity Type:Organization
Organization Name:VNA AN AFFILIATE OF WVHCS
Other - Org Name:VNA HOME HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:W
Authorized Official - Last Name:RUSSIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:570-552-4000
Mailing Address - Street 1:468 NORTHAMPTON ST
Mailing Address - Street 2:
Mailing Address - City:EDWARDSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18704-4599
Mailing Address - Country:US
Mailing Address - Phone:570-552-4000
Mailing Address - Fax:570-552-4000
Practice Address - Street 1:468 NORTHAMPTON ST
Practice Address - Street 2:
Practice Address - City:EDWARDSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18704-4599
Practice Address - Country:US
Practice Address - Phone:570-552-4000
Practice Address - Fax:570-552-4000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA10077510002Medicaid
PA811524OtherFIRST PRIORITY HEALTH
PA32424OtherHEALTH ASSURANCE
PA10077510002Medicaid