Healthcare Provider Details

I. General information

NPI: 1992700165
Provider Name (Legal Business Name): VISITING NURSE ASSOCIATION OF ALBANY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2005
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 COLVIN AVE
ALBANY NY
12206-1103
US

IV. Provider business mailing address

35 COLVIN AVE
ALBANY NY
12206-1103
US

V. Phone/Fax

Practice location:
  • Phone: 518-489-2681
  • Fax: 518-435-0615
Mailing address:
  • Phone: 518-489-2681
  • Fax: 518-435-0615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number0101901L
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number0101601
License Number StateNY

VIII. Authorized Official

Name: MS. SAMANTHA DICICCO
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: RN, MBA-HCM, BSN, BA
Phone: 203-627-4170