Provider Demographics
NPI:1528059805
Name:VISITING NURSE SERVICE OF NEW YORK HOME CARE II
Entity type:Organization
Organization Name:VISITING NURSE SERVICE OF NEW YORK HOME CARE II
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE GENERAL COUNSEL
Authorized Official - Prefix:MS
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIGGS PAULY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-290-6425
Mailing Address - Street 1:5 PENN PLZ
Mailing Address - Street 2:12TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-1810
Mailing Address - Country:US
Mailing Address - Phone:212-609-7300
Mailing Address - Fax:212-290-3939
Practice Address - Street 1:220 EAST 42ND STREET
Practice Address - Street 2:6TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-5806
Practice Address - Country:US
Practice Address - Phone:212-609-7300
Practice Address - Fax:212-290-3939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-04
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00321811Medicaid
NY04177OtherMEDI-TAB BILLING AGENT
NY00321811Medicaid