Provider Demographics
NPI:1699707695
Name:VISITING NURSE ASSOCIATION OF INDIANA COUNTY
Entity type:Organization
Organization Name:VISITING NURSE ASSOCIATION OF INDIANA COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BELLAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-463-6340
Mailing Address - Street 1:850 HOSPITAL RD
Mailing Address - Street 2:SUITE 3000
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-3662
Mailing Address - Country:US
Mailing Address - Phone:724-463-8711
Mailing Address - Fax:724-465-3182
Practice Address - Street 1:850 HOSPITAL RD
Practice Address - Street 2:SUITE 3000
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-3662
Practice Address - Country:US
Practice Address - Phone:724-463-8711
Practice Address - Fax:724-465-3182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA151199251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007715220006Medicaid
PA391511AMedicare ID - Type UnspecifiedHOSPICE