Vna Homecare, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

2002244 Issued in IL

Legal business name

VNA HOMECARE, INC.

Doing business as

TIP Hospice

Practice address

508 S Park Ave
Herrin, IL 62948-3812

Phone

(618) 467-3559

NPI assigned

Feb 6, 2007

Last updated

May 16, 2008By the provider in NPPES

Organization subpart

No

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

Addresses

Other names 1

• TIP Hospice Doing business as

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1457491011",
    "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": "508 S PARK AVE",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483812",
            "telephone_number": "618-467-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VNA HOMECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2008-05-16",
        "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": "IL",
            "license": "2002244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TIP Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard P Vicenzi, ATHLETIC TRAINER
• Kara Iris Abigail Vidales, RBT
• Dawn Violett
• Renee Delene Violett
• Vna Homecare, Inc. (VNA-TIP HomeCare)
• Jennifer Sue Wade, MOT OTR/L
• Angela Wagner
• Shannon Waldon, CSA
• Walgreen Co (Walgreens #12089)
• Walgreen Co. (Walgreens #12089)

• Community Based Hospice Care Agency in Herrin, IL
• Providers in Herrin, IL by specialty
• Community Based Hospice Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.