Provider Demographics
NPI:1295907731
Name:VISHNIA & ASSOCIATES, INC.
Entity type:Organization
Organization Name:VISHNIA & ASSOCIATES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:L
Authorized Official - Last Name:VISHNIA
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, RN
Authorized Official - Phone:330-929-5512
Mailing Address - Street 1:2497 STATE RD
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44223-1503
Mailing Address - Country:US
Mailing Address - Phone:330-929-5512
Mailing Address - Fax:330-929-7732
Practice Address - Street 1:2497 STATE RD
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44223-1503
Practice Address - Country:US
Practice Address - Phone:330-929-5512
Practice Address - Fax:330-929-7732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-25
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0955659Medicaid