Vna Comprehensive Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

VNA COMPREHENSIVE SERVICES, INC.

Doing business as

Private Duty of Vna

Practice address

1157 Westwood Dr
Van Wert, OH 45891-2464

Phone

(419) 238-3714

Fax

(419) 238-0219

NPI assigned

Dec 12, 2006

Last updated

Nov 1, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brent Tow

Title

President Ceo

Phone

(419) 238-9223

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• PRIVATE DUTY OF VNA Doing business as

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801956487. Details of each certification follow.

• CCN 367570 Home health agency · Active · Details

Home health agency certification: CCN 367570

Legal name

VNA COMPREHENSIVE SERVICES, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 18, 1994

Last certification

May 2, 2012

Ownership / control type

Non-Profit

Organization structure

CorporationNon-profit

Incorporated

Dec 11, 1991 in OH

Enrollment address

1157 Westwood Dr
Van Wert, OH 45891-2464
HHA Branch

Listed as

Private Duty of VnaCCN 367570 · All quality measures

Ownership

Non-Profit

Certified

Apr 18, 1994

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 6

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

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1801956487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 WESTWOOD DR",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912464",
            "telephone_number": "419-238-3714",
            "fax_number": "419-238-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 WESTWOOD DR",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912464",
            "telephone_number": "419-238-3714",
            "fax_number": "419-238-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VNA COMPREHENSIVE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "TOW",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "419-238-9223"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08-75665",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "VNFV91471",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIVATE DUTY OF VNA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.