Provider Demographics
NPI:1730303025
Name:VERDUGO HILLS VISITING NURSES ASSOCIATION
Entity Type:Organization
Organization Name:VERDUGO HILLS VISITING NURSES ASSOCIATION
Other - Org Name:VNA CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:RAJNIT
Authorized Official - Middle Name:K
Authorized Official - Last Name:WALIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-391-7620
Mailing Address - Street 1:2826 E FOOTHILL BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-3400
Mailing Address - Country:US
Mailing Address - Phone:626-568-2588
Mailing Address - Fax:626-568-2590
Practice Address - Street 1:2826 E FOOTHILL BLVD STE 101
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-3400
Practice Address - Country:US
Practice Address - Phone:626-568-2588
Practice Address - Fax:626-568-2590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA057018Medicare ID - Type UnspecifiedHOME HEALTH AGENCY