Provider Demographics
NPI:1750323093
Name:VISITING NURSE SERVICE, INC.
Entity Type:Organization
Organization Name:VISITING NURSE SERVICE, INC.
Other - Org Name:HOSPICE OF VISITING NURSE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:L
Authorized Official - Last Name:MULLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-745-1601
Mailing Address - Street 1:1 HOME CARE PL
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44320-3901
Mailing Address - Country:US
Mailing Address - Phone:330-745-1601
Mailing Address - Fax:330-848-6181
Practice Address - Street 1:3358 RIDGEWOOD RD
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-3118
Practice Address - Country:US
Practice Address - Phone:330-665-1455
Practice Address - Fax:330-668-4680
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VISITING NURSE SERVICE INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-12
Last Update Date:2014-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0820544Medicaid
OH0820544Medicaid