Provider Demographics
NPI:1851513162
Name:DOUGLAS COUNTY VISITING NURSES ASSOCIATION, INC.
Entity Type:Organization
Organization Name:DOUGLAS COUNTY VISITING NURSES ASSOCIATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELIQUE
Authorized Official - Middle Name:L
Authorized Official - Last Name:LOWER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-843-3738
Mailing Address - Street 1:200 MAINE, SUITE C
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044
Mailing Address - Country:US
Mailing Address - Phone:785-843-3738
Mailing Address - Fax:785-843-6439
Practice Address - Street 1:200 MAINE, SUITE C
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044
Practice Address - Country:US
Practice Address - Phone:785-843-3738
Practice Address - Fax:785-843-6439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSA-023-001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100089320AMedicaid
KS100018940BMedicaid
KS177034OtherMEDICARE PTN
KS0283OtherBCBS OF KANSAS
KS100018940AMedicaid