Organization 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
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
811525OtherPAFIRST PRIORITY HEALTH
IY0447OtherPAHEALTHNET
10077751001MedicaidPA
33485OtherPAHEALTH AMERICA-PENN STATE

Other names 1

  • Hospice Care of the VNA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Commonwealth Home Health Hospice of Wilkes-Barre3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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.

Verify at the official NPI Registry.