Provider Demographics
NPI:1659570091
Name:VISITING NURSES HOME CARE
Entity Type:Organization
Organization Name:VISITING NURSES HOME CARE
Other - Org Name:VISITING NURSE HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:BOOTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-734-9662
Mailing Address - Street 1:600 BIRCHWOOD AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-1757
Mailing Address - Country:US
Mailing Address - Phone:360-734-9662
Mailing Address - Fax:360-752-1092
Practice Address - Street 1:600 BIRCHWOOD AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-1757
Practice Address - Country:US
Practice Address - Phone:360-734-9662
Practice Address - Fax:360-752-1092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-16
Last Update Date:2009-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAIS-463251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAB13795Medicare PIN