Provider Demographics
NPI:1720253230
Name:VISITING NURSE ASSOCIATION OF SOMERSET HILLS HOME HEALTH & HOSPICE SER
Entity Type:Organization
Organization Name:VISITING NURSE ASSOCIATION OF SOMERSET HILLS HOME HEALTH & HOSPICE SER
Other - Org Name:VNA HOME HEALTH SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:M
Authorized Official - Last Name:PAINTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-766-0180
Mailing Address - Street 1:200 MT. AIRY RD.
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-2335
Mailing Address - Country:US
Mailing Address - Phone:908-766-0180
Mailing Address - Fax:908-766-5492
Practice Address - Street 1:200 MT. AIRY RD.
Practice Address - Street 2:
Practice Address - City:BASKING RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07920-2335
Practice Address - Country:US
Practice Address - Phone:908-766-0180
Practice Address - Fax:908-766-5492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-25
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22251251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3687210Medicaid