Visiting Nurse Service and Affiliates

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

810120 Issued in OH

Legal business name

VISITING NURSE SERVICE AND AFFILIATES

Practice address

4080 Brimfield Plaza
Kent, OH 44240-6902

Phone

(330) 677-4666

Fax

(330) 677-1595

NPI assigned

Oct 18, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jerry Bauman

Title

Administrator

Phone

(330) 861-6165

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Portage County Visiting Nurse Service & Hospice Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194806901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 BRIMFIELD PLAZA",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442406902",
            "telephone_number": "330-677-4666",
            "fax_number": "330-677-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 BRIMFIELD PLAZA",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442406902",
            "telephone_number": "330-677-4666",
            "fax_number": "330-677-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING NURSE SERVICE AND AFFILIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAUMAN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "330-861-6165",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "810120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9072953",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Portage County Visiting Nurse Service & Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anne Vanwagoner, PCC-S
• Melody Vardon
• Samantha Vela, LPC
• Victor V Kopyev, MD, LLC
• Jennifer Sidun Vincent, O.D.
• Jennifer Visker
• Khalid D Volious
• Leon D Wade
• Madison B Wade
• Patricia A Wade

• Home Health Agency in Kent, OH
• Providers in Kent, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.