Provider Demographics
NPI:1659337715
Name:VISITING NURSES HOME CARE
Entity Type:Organization
Organization Name:VISITING NURSES HOME CARE
Other - Org Name:BORGESS HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JILL
Authorized Official - Middle Name:A
Authorized Official - Last Name:ELDRED
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, MPA
Authorized Official - Phone:269-323-2325
Mailing Address - Street 1:8001 ANGLING RD
Mailing Address - Street 2:
Mailing Address - City:PORTAGE
Mailing Address - State:MI
Mailing Address - Zip Code:49024-7422
Mailing Address - Country:US
Mailing Address - Phone:269-323-2325
Mailing Address - Fax:269-323-7583
Practice Address - Street 1:8001 ANGLING RD
Practice Address - Street 2:
Practice Address - City:PORTAGE
Practice Address - State:MI
Practice Address - Zip Code:49024-7422
Practice Address - Country:US
Practice Address - Phone:269-323-2325
Practice Address - Fax:269-323-7583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
0C91005Medicare ID - Type UnspecifiedMEDICARE PART B