Active NPI
Deaconess Vna Plus, LLC
- Home Health Agency
- Evansville, IN
National Provider Identifier
1366524688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 150052471
- Legal business name
- DEACONESS VNA PLUS, LLC
- Practice address
- 610 E Walnut St
Evansville, IN 47713-2460 - Phone
- (812) 425-3561
- Fax
- (812) 463-4600
- NPI assigned
- Oct 19, 2006
- 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
- Mrs. Gloria D. Horton
- Title
- Executive Director
- Phone
- (812) 425-3561
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 150052471 | IN | Primary |
Addresses
Primary practice location
610 E Walnut St
Evansville, IN 47713-2460
Mailing address
PO Box 3487
Evansville, IN 47734-3487
Phone (812) 425-3561
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000323484 | Other | IN | BLUE CROSS-PRINCETON OFF |
| 201266990A | Medicaid | IN | |
| 000000323485 | Other | IN | BLUE CROSS TELL CITY OFFI |
| V255P(657A5)1475 | Other | IL | VA - MARION |
| 000000186268 | Other | IN | BLUE CROSS EVANSVILLE OFF |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Geriatric Medicine (Internal Medicine) Physician
- Evansville, IN
- NPI 1750399259
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438819200000",
"number": "1366524688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3487",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477343487",
"telephone_number": "812-425-3561",
"fax_number": "812-463-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 E WALNUT ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477132460",
"telephone_number": "812-425-3561",
"fax_number": "812-463-4600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEACONESS VNA PLUS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-19",
"last_updated": "2015-08-06",
"status": "A",
"authorized_official_last_name": "HORTON",
"authorized_official_first_name": "GLORIA",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "812-425-3561",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IN",
"license": "150052471",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-PRINCETON OFF",
"identifier": "000000323484",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201266990A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS TELL CITY OFFI",
"identifier": "000000323485",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA - MARION",
"identifier": "V255P(657A5)1475",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS EVANSVILLE OFF",
"identifier": "000000186268",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
- Deaconess Specialty Physicians Inc
- Deaconess Specialty Physicians Inc
- Deaconess Specialty Physicians, Inc
- Deaconess Specialty Physicians, Inc
- Deaconess Specialty Physicians, Inc
- Deaconess Vna Plus, LLC
- Deaconess Vna Plus, LLC
- Deaconess Welborn Surgical Holding Company, LLC
- Deaconess Women'S Hospital of Southern Indiana, LLC
- Dean Family Dental Practice, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.