Healthcare Provider Details

I. General information

NPI: 1083619266
Provider Name (Legal Business Name): VNA HOME CARE OF MERCER COUNTY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2005
Last Update Date: 10/03/2022
Certification Date: 10/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 S GOLD DR STE B
HAMILTON NJ
08691-1633
US

IV. Provider business mailing address

2 S GOLD DR STE B
HAMILTON NJ
08691-1633
US

V. Phone/Fax

Practice location:
  • Phone: 609-695-3461
  • Fax: 609-695-4222
Mailing address:
  • Phone: 609-695-3461
  • Fax: 609-695-4222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number71102
License Number StateNJ

VIII. Authorized Official

Name: MR. GEORGE W HAMILTON
Title or Position: VICE PRESIDENT FINANCE
Credential:
Phone: 215-698-3726