Provider Demographics
| NPI: | 1619094315 |
|---|---|
| Name: | VISITING HEALTH AND SUPPORTIVE SERVICES, INC |
| Entity type: | Organization |
| Organization Name: | VISITING HEALTH AND SUPPORTIVE SERVICES, INC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | SVP COMMUNITY HEALTH IMPROVEMENT |
| Authorized Official - Prefix: | MR |
| Authorized Official - First Name: | DON |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | PINNER |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 908-303-3869 |
| Mailing Address - Street 1: | 2100 WESCOTT DRIVE |
| Mailing Address - Street 2: | |
| Mailing Address - City: | FLEMINGTON |
| Mailing Address - State: | NJ |
| Mailing Address - Zip Code: | 08822 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 908-788-6153 |
| Mailing Address - Fax: | 908-788-6111 |
| Practice Address - Street 1: | 215 ROUTE 31 SO. |
| Practice Address - Street 2: | |
| Practice Address - City: | FLEMINGTON |
| Practice Address - State: | NJ |
| Practice Address - Zip Code: | 08822 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 908-788-2541 |
| Practice Address - Fax: | 908-788-6111 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2007-03-26 |
| Last Update Date: | 2016-05-13 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| NJ | HP0109200 | 251E00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 251E00000X | Agencies | Home Health |