Provider Demographics
NPI:1790788917
Name:VISITING NURSE ASSOCIATION OF GTR. YOUNGSTOWN
Entity Type:Organization
Organization Name:VISITING NURSE ASSOCIATION OF GTR. YOUNGSTOWN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:TUCCI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-782-5606
Mailing Address - Street 1:518 E INDIANOLA AVE
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44502-2320
Mailing Address - Country:US
Mailing Address - Phone:330-782-5606
Mailing Address - Fax:330-782-5600
Practice Address - Street 1:518 E INDIANOLA AVE
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44502-2320
Practice Address - Country:US
Practice Address - Phone:330-782-5606
Practice Address - Fax:330-782-5600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9072506Medicaid
OH9072506Medicaid