Provider Demographics
NPI:1629311683
Name:VISITING NURSES HOME CARE
Entity Type:Organization
Organization Name:VISITING NURSES HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:MS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:ACER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-376-3426
Mailing Address - Street 1:150 BROADWAY STE 310
Mailing Address - Street 2:
Mailing Address - City:MENANDS
Mailing Address - State:NY
Mailing Address - Zip Code:12204-2726
Mailing Address - Country:US
Mailing Address - Phone:518-694-9907
Mailing Address - Fax:518-694-9914
Practice Address - Street 1:150 BROADWAY
Practice Address - Street 2:SUITE 310
Practice Address - City:MENANDS
Practice Address - State:NY
Practice Address - Zip Code:12204-2719
Practice Address - Country:US
Practice Address - Phone:518-694-9907
Practice Address - Fax:518-694-9914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-28
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY298963251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1316918063Medicaid