Provider Demographics
NPI:1215977392
Name:THE VISITING NURSE ASSOCIATION OF GREATER PHILADELPHIA
Entity type:Organization
Organization Name:THE VISITING NURSE ASSOCIATION OF GREATER PHILADELPHIA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:SINCLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-473-0772
Mailing Address - Street 1:4601 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19139-4636
Mailing Address - Country:US
Mailing Address - Phone:215-473-0772
Mailing Address - Fax:215-473-7910
Practice Address - Street 1:501 S 54TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19143-1900
Practice Address - Country:US
Practice Address - Phone:215-581-2046
Practice Address - Fax:215-581-2049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-07
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA157499251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA13331OtherHEALTH PARTNERS PROV NUMB
PA0002891000OtherIBC PROVIDER NUMBER
PA1007743370022Medicaid
PA502951OtherAETNA PROV NUMBER
PA60300OtherKEYSTONE MERCY PROV NUM
PA01485532/01OtherAMERICHOICE PROV NUM
PA1007743370022Medicaid
PA60300OtherKEYSTONE MERCY PROV NUM