Provider Demographics
NPI:1184806929
Name:THE VISITING NURSE ASSOCIATION OF TEXAS
Entity type:Organization
Organization Name:THE VISITING NURSE ASSOCIATION OF TEXAS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:GENERAL COUNSEL
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:RICCIARDELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-689-0000
Mailing Address - Street 1:1420 W MOCKINGBIRD LN STE 700
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247-5051
Mailing Address - Country:US
Mailing Address - Phone:214-689-0000
Mailing Address - Fax:833-546-0597
Practice Address - Street 1:1420 W MOCKINGBIRD LN STE 700
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75247-5051
Practice Address - Country:US
Practice Address - Phone:214-689-0000
Practice Address - Fax:833-546-0597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-04
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1531251G00000X
TX251V00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXHH6906OtherBLUE CROSS BLUE SHIELD
TXHH9014OtherBLUE CROSS BLUE SHIELD
TXHH6925OtherBLUE CROSS BLUE SHIELD
TXHH6988OtherBLUE CROSS BLUE SHIELD
TXHH6989OtherBLUE CROSS BLUE SHIELD
TXHH6987OtherBLUE CROSS BLUE SHIELD
TX457001Medicare Oscar/Certification