Provider Demographics
NPI:1578697462
Name:VISITING NURSE ASSOCIATION OF WISCONSIN
Entity Type:Organization
Organization Name:VISITING NURSE ASSOCIATION OF WISCONSIN
Other - Org Name:VNA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS OFFICE LEAD
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:KARSTAEDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-686-4314
Mailing Address - Street 1:2314 KOHLER MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:SHEBOYGAN
Mailing Address - State:WI
Mailing Address - Zip Code:53081-3127
Mailing Address - Country:US
Mailing Address - Phone:800-686-4314
Mailing Address - Fax:920-453-3941
Practice Address - Street 1:2314 KOHLER MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:SHEBOYGAN
Practice Address - State:WI
Practice Address - Zip Code:53081-3127
Practice Address - Country:US
Practice Address - Phone:800-686-4314
Practice Address - Fax:920-453-3941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI43183800Medicaid
WI521535Medicare ID - Type Unspecified