Healthcare Provider Details

I. General information

NPI: 1225374374
Provider Name (Legal Business Name): VISITING NURSE ASSOCIATION OF SAGINAW
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2012
Last Update Date: 06/04/2021
Certification Date: 06/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 COOPER AVE
SAGINAW MI
48602-5383
US

IV. Provider business mailing address

500 S HAMILTON ST
SAGINAW MI
48602-1511
US

V. Phone/Fax

Practice location:
  • Phone: 989-799-6020
  • Fax: 989-799-6024
Mailing address:
  • Phone: 989-799-6020
  • Fax: 989-799-6024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MS. DIANE M GLASGOW
Title or Position: DIRECTOR
Credential: OTR
Phone: 989-799-6020