Provider Demographics
NPI:1831488394
Name:VISITING NURSES ASSOCIATION OF THE ROCKFORD AREA
Entity Type:Organization
Organization Name:VISITING NURSES ASSOCIATION OF THE ROCKFORD AREA
Other - Org Name:POSITIVE REFLECTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP FINANCE
Authorized Official - Prefix:MS
Authorized Official - First Name:DANETTE
Authorized Official - Middle Name:M
Authorized Official - Last Name:EIBL
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:815-971-3773
Mailing Address - Street 1:4223 EAST STATE STREET
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61108-2047
Mailing Address - Country:US
Mailing Address - Phone:815-971-3550
Mailing Address - Fax:
Practice Address - Street 1:7180 SPRING BROOK RD
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61114-6738
Practice Address - Country:US
Practice Address - Phone:815-971-7115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VISITING NURSES ASSOCIATION OF THE ROCKFORD AREA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-04-05
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies