Provider Demographics
NPI:1780091769
Name:VISITING NURSES ASSOCIATION
Entity type:Organization
Organization Name:VISITING NURSES ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EI SERVICE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:ROSALLY
Authorized Official - Middle Name:
Authorized Official - Last Name:JIMENEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-816-3513
Mailing Address - Street 1:400 LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10303-2629
Mailing Address - Country:US
Mailing Address - Phone:718-816-3513
Mailing Address - Fax:718-816-3488
Practice Address - Street 1:400 LAKE AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10303-2629
Practice Address - Country:US
Practice Address - Phone:718-816-3513
Practice Address - Fax:718-816-3488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-22
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1619049343251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management