Provider Demographics
NPI:1265614002
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:VICE PRESIDENT, 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 1:1600 VICEROY DRIVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75235-2316
Mailing Address - Country:US
Mailing Address - Phone:214-689-0000
Mailing Address - Fax:214-689-2300
Practice Address - Street 1:1600 VICEROY DR
Practice Address - Street 2:SUITE 400
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-2311
Practice Address - Country:US
Practice Address - Phone:214-689-0000
Practice Address - Fax:214-689-2300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-04
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332U00000X
TX3056251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Yes332U00000XSuppliersHome Delivered Meals
Provider Identifiers
StateIdentifier IDID TypeIssuer
1265614002OtherMANAGED CARE ORGANIZATIONS