Provider Demographics
NPI:1659360824
Name:VNA HOME HEALTH SERVICES
Entity Type:Organization
Organization Name:VNA HOME HEALTH SERVICES
Other - Org Name:WELLSPAN HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR VP AND CFO
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUCZKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-259-0783
Mailing Address - Street 1:785 5TH AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4232
Mailing Address - Country:US
Mailing Address - Phone:717-263-9555
Mailing Address - Fax:717-709-6529
Practice Address - Street 1:300 W CHESTNUT ST
Practice Address - Street 2:SUITE 204
Practice Address - City:EPHRATA
Practice Address - State:PA
Practice Address - Zip Code:17522-1987
Practice Address - Country:US
Practice Address - Phone:717-812-4433
Practice Address - Fax:717-812-8189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-19
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA747105251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA747105OtherDEPT OF HEALTH LICENSE
PA397471BMedicare Oscar/Certification