Provider Demographics
NPI:1568631737
Name:THE VISITING NURSE ASSOCIATION OF TEXAS
Entity Type:Organization
Organization Name:THE VISITING NURSE ASSOCIATION OF TEXAS
Other - Org Name:VNA OF TEXAS
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:CARPENTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-689-0000
Mailing Address - Street 1:1440 W MOCKINGBIRD LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247-6911
Mailing Address - Country:US
Mailing Address - Phone:214-689-0000
Mailing Address - Fax:214-689-2300
Practice Address - Street 1:1600 VICEROY DR
Practice Address - Street 2:SUITE 400
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-2311
Practice Address - Country:US
Practice Address - Phone:214-689-0000
Practice Address - Fax:214-689-2300
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VNA INTERGRATED CARE MANAGEMENT - CBA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3625251E00000X
TX251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1015442Medicaid