Provider Demographics
NPI:1881764736
Name:VISITING NURSE ASSOCIATION OF SAINT LUKES HOME HEALTH HOSPICE INC
Entity type:Organization
Organization Name:VISITING NURSE ASSOCIATION OF SAINT LUKES HOME HEALTH HOSPICE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:GIOVANNI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:484-526-1100
Mailing Address - Street 1:240 UNION STATION PLZ
Mailing Address - Street 2:FIRST FLOOR
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18015-1281
Mailing Address - Country:US
Mailing Address - Phone:484-526-1100
Mailing Address - Fax:484-526-2810
Practice Address - Street 1:2455 BLACK RIVER RD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18015-5207
Practice Address - Country:US
Practice Address - Phone:610-997-7120
Practice Address - Fax:610-997-7107
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ST. LUKE'S HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-08
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA153599251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100746136001Medicaid
PA100746136001Medicaid