Active NPI
Deaconess Vna Plus, LLC
- Home Health Agency
- Evansville, IN
National Provider Identifier
1720328685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 150123
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 147311 | Other | IL | MEDICARE- ILLINOIS |
| 157004 | Other | IN | MEDICARE- INDIANA |
| 186268 | Other | IN | BLUE CROSS EVANSVILLE |
| 323485 | Other | IN | BLUE CROSS PRINCETON |
| 323484 | Other | IN | BLUE CROSS TELL CITY |
| V255P (657A5)-1475 | Other | IL | VA PROVIDER- MARION, IL |
National Provider Directory
National Provider Directory- Tax ID family
- Deaconess Vna Plus LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Evansville, IN
- NPI 1003263500
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
- Deaconess Specialty Physicians Inc
- Deaconess Specialty Physicians, Inc
- Deaconess Specialty Physicians, Inc
- Deaconess Specialty Physicians, Inc
- Deaconess Vna Plus, LLC
- Deaconess Vna Plus, LLC
- Deaconess Welborn Surgical Holding Company, LLC
- Deaconess Women'S Hospital of Southern Indiana, LLC
- Dean Family Dental Practice, LLC
- Darren Michael Dean, D.D.S.
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.