Organization Active NPI

Deaconess Vna Plus, LLC

  • Home Health Agency
  • Evansville, IN
National Provider Identifier
1366524688
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
150052471 Issued in IN
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

Updated by the provider on Aug 6, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000323484OtherINBLUE CROSS-PRINCETON OFF
201266990AMedicaidIN
000000323485OtherINBLUE CROSS TELL CITY OFFI
V255P(657A5)1475OtherILVA - MARION
000000186268OtherINBLUE CROSS EVANSVILLE OFF

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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

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.

Verify at the official NPI Registry.