Provider Demographics
NPI:1386631513
Name:NEIGHBORHOOD VISITING NURSE ASSOCIATION
Entity type:Organization
Organization Name:NEIGHBORHOOD VISITING NURSE ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP/COO
Authorized Official - Prefix:MISS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVOTI
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, MBA
Authorized Official - Phone:610-696-6511
Mailing Address - Street 1:795 E MARSHALL ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-4400
Mailing Address - Country:US
Mailing Address - Phone:610-696-6511
Mailing Address - Fax:610-344-7064
Practice Address - Street 1:795 E MARSHALL ST
Practice Address - Street 2:SUITE 204
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-4400
Practice Address - Country:US
Practice Address - Phone:610-696-6511
Practice Address - Fax:610-344-7064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA700905251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0002865000OtherKEYSTONE MOTHERS OPTION
PA0000329000OtherKEYSTONE LACTATION
PA0007553000OtherIBC & KEYSTONE /HOME CARE
PA0099408200OtherKEYSTONE AMERIHEALTH
PA32145OtherAETNA , FOR HOME CARE
PA100776959001Medicaid
PA32145OtherAETNA , FOR HOME CARE
PA397009Medicare ID - Type UnspecifiedHOME CARE