Provider Demographics
NPI: | 1619094315 |
---|---|
Name: | VISITING HEALTH AND SUPPORTIVE SERVICES, INC |
Entity Type: | Organization |
Organization Name: | VISITING HEALTH AND SUPPORTIVE SERVICES, INC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | SVP COMMUNITY HEALTH IMPROVEMENT |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | DON |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | PINNER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 908-303-3869 |
Mailing Address - Street 1: | 2100 WESCOTT DRIVE |
Mailing Address - Street 2: | |
Mailing Address - City: | FLEMINGTON |
Mailing Address - State: | NJ |
Mailing Address - Zip Code: | 08822 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 908-788-6153 |
Mailing Address - Fax: | 908-788-6111 |
Practice Address - Street 1: | 215 ROUTE 31 SO. |
Practice Address - Street 2: | |
Practice Address - City: | FLEMINGTON |
Practice Address - State: | NJ |
Practice Address - Zip Code: | 08822 |
Practice Address - Country: | US |
Practice Address - Phone: | 908-788-2541 |
Practice Address - Fax: | 908-788-6111 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-03-26 |
Last Update Date: | 2016-05-13 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NJ | HP0109200 | 251E00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251E00000X | Agencies | Home Health |