Provider Demographics
NPI:1760447551
Name:VISITING NURSE HEALTH SYSTEM, INC.
Entity Type:Organization
Organization Name:VISITING NURSE HEALTH SYSTEM, INC.
Other - Org Name:HOSPICE ATLANTA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-215-6000
Mailing Address - Street 1:5775 GLENRIDGE DR STE E200
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-7294
Mailing Address - Country:US
Mailing Address - Phone:404-869-3000
Mailing Address - Fax:404-215-6007
Practice Address - Street 1:5775 GLENRIDGE DR STE E200
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-7294
Practice Address - Country:US
Practice Address - Phone:404-869-3000
Practice Address - Fax:404-215-6007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-18
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00459478AMedicaid
GA111508Medicare Oscar/Certification