Provider Demographics
NPI:1891741138
Name:VISITING NURSE ASSN OF HANOVER & SPRING GROVE
Entity Type:Organization
Organization Name:VISITING NURSE ASSN OF HANOVER & SPRING GROVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:WARNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-637-1227
Mailing Address - Street 1:440 N. MADISON STREET
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331
Mailing Address - Country:US
Mailing Address - Phone:717-637-1227
Mailing Address - Fax:717-637-9772
Practice Address - Street 1:440 N. MADISON STREET
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331
Practice Address - Country:US
Practice Address - Phone:717-637-1227
Practice Address - Fax:717-637-9772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA706105251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA397061Medicare ID - Type UnspecifiedVNA OF HANOVER HOME HEALT
PA391548Medicare ID - Type UnspecifiedVNA HOSPICE OF HANOVER