NPIMap

Organization Active NPI

Visiting Nurse Association of Indiana County

  • Community Based Hospice Care Agency
  • Indiana, PA
National Provider Identifier
1699707695
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
151199 Issued in PA
Legal business name
VISITING NURSE ASSOCIATION OF INDIANA COUNTY
Practice address
850 Hospital Rd
Suite 3000
Indiana, PA 15701-3662
Phone
(724) 463-8711
Fax
(724) 465-3182
NPI assigned
Jul 7, 2006
Last updated
Apr 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Authorized official

Name
Mr. William Bellas
Title
Administrator/Executive Director
Phone
(724) 463-6340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 151199 PA Primary

Addresses

Primary practice location

850 Hospital Rd
Suite 3000
Indiana, PA 15701-3662

Mailing address

850 Hospital Rd
Suite 3000
Indiana, PA 15701-3662
Phone (724) 463-8711

Other identifiers 1

IdentifierTypeStateIssuer
1007715220006MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040112000435 PA Part A Provider - Hospice 7517867815 Practice locations: Indiana, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699707695. Details of each certification follow.

Hospice certification: CCN 391511A

Legal name
VISITING NURSE ASSOCIATION OF INDIANA COUNTY
Doing business as
VNA FAMILY HOSPICE
Organization structure
CorporationNon-profit
Incorporated
Mar 30, 1967 in PA
Enrollment address
850 Hospital Rd
Ste 3000
Indiana, PA 15701-3665

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Vna Family HospiceCCN 391511
Ownership
Non-Profit
Certified
May 23, 1985
Medicare certification status
ActiveFrom the Provider of Services file

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory
Tax ID family
Visiting Nurse Assoc of Indiana County2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

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

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Elizabeth Coe Individual Corporate DirectorBoard Member Jan 1, 2021
James Kinneer Individual Corporate DirectorVolunteer Board Member Jan 1, 2020
William Bellas Individual Contracted Managing EmployeeAd; Apr 14, 2020
Corporate OfficerChief Executive Officer Apr 14, 2020
Dawn Funk Individual Corporate DirectorBoard Member Dec 1, 2023
Karen McCreary Individual Corporate DirectorBoard Member Jan 1, 2025
Martin Trettel Individual Corporate DirectorVolunteer Board Member Mar 23, 2020
Michael F Ickowski Sr Individual Corporate DirectorBoard Member Apr 17, 2024
Tammy Young Individual Corporate DirectorVolunteer Board Member Mar 23, 2020
Mark Volovic Individual Corporate DirectorVolunteer Board Member Jan 1, 2018
Concordia Care Network Organization, Cabot, PA Corporation 5% Or Greater Direct Ownership Interest Jan 1, 2021 51%
Indiana Regional Medical Center Organization, Indiana, PA Corporation 5% Or Greater Direct Ownership Interest Jan 1, 2021 49%
Matthew N Klain Individual Contracted Managing EmployeeMD; Apr 1, 2024
Misty Ingram Individual Corporate DirectorBoard Member Jan 1, 2021

Owners & managing parties with NPI records 8

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 16

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 16

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1699707695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 HOSPITAL RD",
            "address_2": "SUITE 3000",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013662",
            "telephone_number": "724-463-8711",
            "fax_number": "724-465-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 HOSPITAL RD",
            "address_2": "SUITE 3000",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013662",
            "telephone_number": "724-463-8711",
            "fax_number": "724-465-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING NURSE ASSOCIATION OF INDIANA COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "BELLAS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "ADMINISTRATOR/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "724-463-6340",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "PA",
            "license": "151199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007715220006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

Verify at the official NPI Registry.