Provider Demographics
NPI:1639440951
Name:VISITING NURSE ASSOCIATION OF GREATER CINCINNATI & NORTHERN KENTUCKY
Entity Type:Organization
Organization Name:VISITING NURSE ASSOCIATION OF GREATER CINCINNATI & NORTHERN KENTUCKY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:K
Authorized Official - Last Name:LANDELL
Authorized Official - Suffix:
Authorized Official - Credentials:RNC, BSN
Authorized Official - Phone:513-345-8005
Mailing Address - Street 1:601 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:KY
Mailing Address - Zip Code:41071-1986
Mailing Address - Country:US
Mailing Address - Phone:859-344-1661
Mailing Address - Fax:859-344-8601
Practice Address - Street 1:601 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:KY
Practice Address - Zip Code:41071-1986
Practice Address - Country:US
Practice Address - Phone:859-344-1661
Practice Address - Fax:859-344-8601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-18
Last Update Date:2014-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY42540021251B00000X
KY34540013251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY34540013Medicaid
KY42540021Medicaid
KY187180Medicare PIN