Provider Demographics
NPI:1932321114
Name:VISITING NURSE SPECIAL SERVICES
Entity Type:Organization
Organization Name:VISITING NURSE SPECIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:S.
Authorized Official - Middle Name:JILL
Authorized Official - Last Name:SCHULTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MSN
Authorized Official - Phone:989-797-0828
Mailing Address - Street 1:502 S. HAMILTON
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48602-1511
Mailing Address - Country:US
Mailing Address - Phone:989-797-0828
Mailing Address - Fax:989-799-1403
Practice Address - Street 1:502 S. HAMILTON
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602-1511
Practice Address - Country:US
Practice Address - Phone:989-797-0828
Practice Address - Fax:989-799-1403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2014-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0M44520Medicare ID - Type UnspecifiedFLU