Provider Demographics
NPI:1619049343
Name:VISITING NURSE ASSOCIATION HEALTH CARE SERVICES INC
Entity Type:Organization
Organization Name:VISITING NURSE ASSOCIATION HEALTH CARE SERVICES INC
Other - Org Name:VNASI-EI
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MANNINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-816-3426
Mailing Address - Street 1:669 CASTLETON AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10301-2028
Mailing Address - Country:US
Mailing Address - Phone:718-816-3426
Mailing Address - Fax:718-442-5024
Practice Address - Street 1:669 CASTLETON AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10301-2028
Practice Address - Country:US
Practice Address - Phone:718-816-3426
Practice Address - Fax:718-442-5024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0030200251E00000X
252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
115122POtherHIP
0085267OtherGHI
040401001640OtherCENTER CARE
004505OtherBLUE CROSS
1000017804OtherAFFINITY
NY337260Medicaid
NYC6000210OtherUNITED HEALTH CARE OF NY
0049144OtherAETNA
ANC907OtherOXFORD
4C5751OtherTOUCHSTONE
000412357617OtherHEALTH PLUS
NY0030200Medicaid
NY00671816Medicaid
NYC6000210OtherUNITED HEALTH CARE OF NY
NY337260Medicaid
004505OtherBLUE CROSS