Provider Demographics
NPI:1992878599
Name:VISITING NURSE ASSOCIATION HEALTH CARE SERVICES INC
Entity type:Organization
Organization Name:VISITING NURSE ASSOCIATION HEALTH CARE SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CALVIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:SPRUNG
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:718-816-3410
Mailing Address - Street 1:400 LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10303-2629
Mailing Address - Country:US
Mailing Address - Phone:718-720-2245
Mailing Address - Fax:718-442-5024
Practice Address - Street 1:400 LAKE AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10303-2629
Practice Address - Country:US
Practice Address - Phone:718-720-2245
Practice Address - Fax:718-442-5024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7004901L251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
1000017804OtherAFFINITY
NYC6000210OtherUNITED HEALTH CARE OF NY
NY00671816Medicaid
ANC907OtherOXFORD
000412357617OtherHEALTH PLUS
NY00337260Medicaid
004505OtherBLUE CROSS
115122POtherHIP
0049144OtherAETNA
4C5751OtherTOUCHSTONE
NY0030200Medicaid
040401001640OtherCENTER CARE
0085267OtherGHI
040401001640OtherCENTER CARE
=========OtherCIGNA
004505OtherBLUE CROSS