Active NPI
Vna Homecare, Inc.
- Community Based Hospice Care Agency
- Bridgeton, MO
National Provider Identifier
1205977832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 135-2HO
- Legal business name
- VNA HOMECARE, INC.
- Practice address
- 3445 Bridgeland Dr
Suite 117
Bridgeton, MO 63044-2621 - Phone
- (618) 467-3559
- NPI assigned
- Feb 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Chandarlis, CPA
- Title
- Cfo
- Phone
- (618) 467-3559
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 135-2HO | MO | Primary |
Addresses
Primary practice location
3445 Bridgeland Dr
Suite 117
Bridgeton, MO 63044-2621
Mailing address
200 N Center Dr
Alton, IL 62002-5946
Phone (618) 467-3559
Other names 1
- TIP Hospice
National Provider Directory
National Provider DirectoryLocations
3445 Bridgeland Dr
Ste 117
Bridgeton, MO 63044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1205977832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 N CENTER DR",
"city": "ALTON",
"state": "IL",
"postal_code": "620025946",
"telephone_number": "618-467-3559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3445 BRIDGELAND DR",
"address_2": "SUITE 117",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442621",
"telephone_number": "618-467-3559"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VNA HOMECARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CHANDARLIS",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "618-467-3559",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "MO",
"license": "135-2HO",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "TIP Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bridgeton, MO
Sources for this page
- 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.