Organization Active NPI

Deaconess Vna Plus, LLC

  • Home Health Agency
  • Evansville, IN
National Provider Identifier
1720328685
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
150123 Issued in KY
Legal business name
DEACONESS VNA PLUS, LLC
Practice address
611 Harriet St
Evansville, IN 47710-1773
Phone
(812) 425-3561
Fax
(812) 463-4600
NPI assigned
Feb 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Authorized official

Name
Leigh Ann Gamble
Title
Officer
Phone
(812) 450-3980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 150123 KY Primary

Addresses

Primary practice location

611 Harriet St
Evansville, IN 47710-1773

Mailing address

611 Harriet St
Evansville, IN 47710-1773
Phone (812) 425-3561

Other identifiers 6

IdentifierTypeStateIssuer
147311OtherILMEDICARE- ILLINOIS
157004OtherINMEDICARE- INDIANA
186268OtherINBLUE CROSS EVANSVILLE
323485OtherINBLUE CROSS PRINCETON
323484OtherINBLUE CROSS TELL CITY
V255P (657A5)-1475OtherILVA PROVIDER- MARION, IL

National Provider Directory

National Provider Directory
Tax ID family
Deaconess Vna Plus LLC2 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.

Locations

611 Harriet St
Evansville, IN 47710
Phone (812) 450-2470

NPI Registry JSON

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1720328685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 HARRIET ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101773",
            "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": "611 HARRIET ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101773",
            "telephone_number": "812-425-3561",
            "fax_number": "812-463-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEACONESS VNA PLUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-28",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "GAMBLE",
        "authorized_official_first_name": "LEIGH ANN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "812-450-3980"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "KY",
            "license": "150123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE- ILLINOIS",
            "identifier": "147311",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE- INDIANA",
            "identifier": "157004",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS EVANSVILLE",
            "identifier": "186268",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PRINCETON",
            "identifier": "323485",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS TELL CITY",
            "identifier": "323484",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA PROVIDER- MARION, IL",
            "identifier": "V255P (657A5)-1475",
            "state": "IL"
        }
    ],
    "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 Nov 21, 2023; 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.