Active NPI
Vna an Affiliate of Wvhcs
Doing business as Hospice Care of the VNA
- Community Based Hospice Care Agency
- Edwardsville, PA
National Provider Identifier
1992886394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- VNA AN AFFILIATE OF WVHCS
- Doing business as
- Hospice Care of the VNA
- Practice address
- 468 Northampton St
Edwardsville, PA 18704-4599 - Phone
- (570) 552-4000
- Fax
- (570) 552-4022
- NPI assigned
- Oct 18, 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
- Ms. Ann W Russin, RN
- Title
- Executive Director
- Phone
- (570) 552-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
468 Northampton St
Edwardsville, PA 18704-4599
Mailing address
468 Northampton St
Edwardsville, PA 18704-4599
Phone (570) 552-4000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 811525 | Other | PA | FIRST PRIORITY HEALTH |
| IY0447 | Other | PA | HEALTHNET |
| 10077751001 | Medicaid | PA | |
| 33485 | Other | PA | HEALTH AMERICA-PENN STATE |
Other names 1
- Hospice Care of the VNA
National Provider Directory
National Provider Directory- Tax ID family
- Commonwealth Home Health Hospice of Wilkes-Barre
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba VNA Home Health Services
- Home Health Agency
- Edwardsville, PA
- NPI 1568543965
-
dba Commonwealth Home Health & Hospice of Wilkes-Barre
- Home Health Agency
- Forty Fort, PA
- NPI 1710129762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1992886394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "468 NORTHAMPTON ST",
"city": "EDWARDSVILLE",
"state": "PA",
"postal_code": "187044599",
"telephone_number": "570-552-4000",
"fax_number": "570-552-4022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "468 NORTHAMPTON ST",
"city": "EDWARDSVILLE",
"state": "PA",
"postal_code": "187044599",
"telephone_number": "570-552-4000",
"fax_number": "570-552-4022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VNA AN AFFILIATE OF WVHCS",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RUSSIN",
"authorized_official_first_name": "ANN",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "570-552-4000",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY HEALTH",
"identifier": "811525",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "IY0447",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10077751001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA-PENN STATE",
"identifier": "33485",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hospice Care of the VNA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Edwardsville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.