Active NPI
Visiting Nurse Association and Home Health Maintenance Organization
- Community Based Hospice Care Agency
- Olyphant, PA
National Provider Identifier
1508946948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 154399
- Legal business name
- VISITING NURSE ASSOCIATION AND HOME HEALTH MAINTENANCE ORGANIZATION
- Practice address
- 301 Delaware Ave
Olyphant, PA 18447-1531 - Phone
- (570) 383-5180
- Fax
- (570) 383-5189
- NPI assigned
- Oct 17, 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
- Marlene Grattolino
- Title
- Executive Director
- Phone
- (570) 383-5180
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 154399 | PA | Primary |
Addresses
Primary practice location
301 Delaware Ave
Olyphant, PA 18447-1531
Mailing address
301 Delaware Ave
Olyphant, PA 18447-1531
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 73 | Other | PA | HOME HEALTH |
| 808351 | Other | PA | HOMEHEALTH |
| 808351 | Other | PA | HOSPICE |
| 1007786300006 | Medicaid | PA | |
| 1007786300002 | Medicaid | PA | |
| 9J | Other | PA | HOSPICE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1258675200000",
"number": "1508946948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 DELAWARE AVE",
"city": "OLYPHANT",
"state": "PA",
"postal_code": "184471531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 DELAWARE AVE",
"city": "OLYPHANT",
"state": "PA",
"postal_code": "184471531",
"telephone_number": "570-383-5180",
"fax_number": "570-383-5189"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISITING NURSE ASSOCIATION AND HOME HEALTH MAINTENANCE ORGANIZATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-17",
"last_updated": "2009-11-20",
"status": "A",
"authorized_official_last_name": "GRATTOLINO",
"authorized_official_first_name": "MARLENE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "570-383-5180"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "PA",
"license": "154399",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOME HEALTH",
"identifier": "73",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOMEHEALTH",
"identifier": "808351",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOSPICE",
"identifier": "808351",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007786300006",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007786300002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOSPICE",
"identifier": "9J",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Olyphant, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.