Provider Demographics
NPI:1386713220
Name:VISITING NURSE ASSOCIATION HEALTH CARE SERVICES INC
Entity type:Organization
Organization Name:VISITING NURSE ASSOCIATION HEALTH CARE SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MANNINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-816-3426
Mailing Address - Street 1:669 CASTLETON AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10301-2028
Mailing Address - Country:US
Mailing Address - Phone:718-816-3426
Mailing Address - Fax:718-442-5024
Practice Address - Street 1:669 CASTLETON AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10301-2028
Practice Address - Country:US
Practice Address - Phone:718-720-2245
Practice Address - Fax:718-442-5024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7004600251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
0085267OtherGHI
NY337260Medicaid
4C5751OtherTOUCHSTONE
004505OtherBLUE CROSS
115122POtherHIP
1000017804OtherAFFINITY
NY0030200Medicaid
NYC6000210OtherUNITED HEALTH CARE OF NY
040401001640OtherCENTER CARE
0049144OtherAETNA
NY00671816Medicaid
000412357617OtherHEALTH PLUS
ANC907OtherOXFORD
1000017804OtherAFFINITY
NY0030200Medicaid
115122POtherHIP