Provider Demographics
NPI:1316918063
Name:VISITING NURSE ASSOCIATION OF ALBANY HOME CARE CORPORATION
Entity type:Organization
Organization Name:VISITING NURSE ASSOCIATION OF ALBANY HOME CARE CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:J
Authorized Official - Last Name:MOONEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-458-9781
Mailing Address - Street 1:855 CENTRAL AVE
Mailing Address - Street 2:SUITE 300A
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12206-1506
Mailing Address - Country:US
Mailing Address - Phone:518-458-9781
Mailing Address - Fax:518-458-9789
Practice Address - Street 1:855 CENTRAL AVE
Practice Address - Street 2:SUITE 300A
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12206-1506
Practice Address - Country:US
Practice Address - Phone:518-458-9781
Practice Address - Fax:518-458-9789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0313-L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health