Provider Demographics
NPI:1841360740
Name:VISITING NURSE SERVICE ASSOCIATION OF SCHENECTADY COUNTY
Entity type:Organization
Organization Name:VISITING NURSE SERVICE ASSOCIATION OF SCHENECTADY COUNTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:TWARDY
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:518-382-7932
Mailing Address - Street 1:108 ERIE BLVD
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12305
Mailing Address - Country:US
Mailing Address - Phone:518-382-7932
Mailing Address - Fax:518-382-5699
Practice Address - Street 1:108 ERIE BLVD
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12305
Practice Address - Country:US
Practice Address - Phone:518-382-7932
Practice Address - Fax:518-382-5699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4601600251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00727555OtherMEDICAID LONG TERM
NY00321802Medicaid
337076Medicare ID - Type Unspecified