Provider Demographics
NPI:1912084435
Name:VISITING NURSE ASSOCIATION, INC.
Entity Type:Organization
Organization Name:VISITING NURSE ASSOCIATION, INC.
Other - Org Name:VNA, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT &CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOUSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-967-9611
Mailing Address - Street 1:25900 GREENFIELD RD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-1292
Mailing Address - Country:US
Mailing Address - Phone:248-967-1440
Mailing Address - Fax:248-967-8761
Practice Address - Street 1:25900 GREENFIELD RD
Practice Address - Street 2:SUITE 600
Practice Address - City:OAK PARK
Practice Address - State:MI
Practice Address - Zip Code:48237-1292
Practice Address - Country:US
Practice Address - Phone:248-967-8719
Practice Address - Fax:248-967-8761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI990017Medicare ID - Type UnspecifiedHOME OFFICE ID