Provider Demographics
NPI:1932406246
Name:VNA PHYSICIAN SERVICES LLC
Entity type:Organization
Organization Name:VNA PHYSICIAN SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PATIENT ACCOUNT MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARA
Authorized Official - Middle Name:F
Authorized Official - Last Name:FUREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-581-2338
Mailing Address - Street 1:3300 HENRY AVE FL 5
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19129-1121
Mailing Address - Country:US
Mailing Address - Phone:215-581-2338
Mailing Address - Fax:215-581-2051
Practice Address - Street 1:3300 HENRY AVE FL 5
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19129-1121
Practice Address - Country:US
Practice Address - Phone:215-581-2338
Practice Address - Fax:215-581-2051
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE VISITING NURSE ASSOCIATION OF GREATER PHILADELPHIA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-02-23
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007743370021Medicaid