Greater Lehigh Valley Visiting Nurse Association, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

758405 Issued in PA

Legal business name

GREATER LEHIGH VALLEY VISITING NURSE ASSOCIATION, INC.

Practice address

501 N 17TH St
Suite 200
Allentown, PA 18104-5044

Phone

(610) 395-2500

Fax

(610) 432-1675

NPI assigned

Dec 21, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Lucille D Gough, RN, MSN, MBA

Title

President/Ceo

Phone

(610) 378-0481

Specialties & licenses 1

Addresses

Other identifiers 11

Locations

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1497731467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 BERKSHIRE BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101215",
            "telephone_number": "610-378-0481",
            "fax_number": "610-378-9762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N 17TH ST",
            "address_2": "SUITE 200",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045044",
            "telephone_number": "610-395-2500",
            "fax_number": "610-432-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER LEHIGH VALLEY VISITING NURSE ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-21",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "GOUGH",
        "authorized_official_first_name": "LUCILLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "610-378-0481",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MSN, MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "758405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "1009922",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBC",
            "identifier": "397584",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "521032",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC MOTHER OPTIONS",
            "identifier": "0000822000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC BABY BLUE PRINT",
            "identifier": "0000824000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1686",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC PRIVATE DUTY NURSING",
            "identifier": "0000821000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017455980001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY",
            "identifier": "1009922",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENTIVA CARE CENTRIX",
            "identifier": "1138",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "0000820000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Kenneth Graver Jr., PHARM D
• Rachel Nicole Graves
• Chantel Annette Gray, M.D.
• Donna J Gray, COTA
• Brooke E Graziano, CRNP
• Yvonne Beth Grebe, NURSE PRACTITIONER
• Edward C Grecsek, CRNP
• Green Hills Family & Cosmetic Dentistry, P.C.
• Green Hills Family Health Care Inc
• Amanda Green, LCSW

• Home Health Agency in Allentown, PA
• Providers in Allentown, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.