Provider Demographics
NPI:1932597432
Name:VISITING NURSE SERVICE
Entity type:Organization
Organization Name:VISITING NURSE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TRIAGE NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:DESTEFANO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:585-787-2233
Mailing Address - Street 1:581 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:NY
Mailing Address - Zip Code:14580-1750
Mailing Address - Country:US
Mailing Address - Phone:585-750-3980
Mailing Address - Fax:
Practice Address - Street 1:581 RIDGE RD
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:NY
Practice Address - Zip Code:14580-1750
Practice Address - Country:US
Practice Address - Phone:585-750-3980
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-06
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY265867282N00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No282N00000XHospitalsGeneral Acute Care Hospital