Healthcare Provider Details
I. General information
NPI: 1851690333
Provider Name (Legal Business Name): VISITING NURSE SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/23/2011
Last Update Date: 03/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9705 HORACE HARDING EXPY APT 11J
CORONA NY
11368-4104
US
IV. Provider business mailing address
9705 HORACE HARDING EXPY APT 11J
CORONA NY
11368-4104
US
V. Phone/Fax
- Phone: 347-531-0332
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
CECILIA
SCHARSCHMIDT
Title or Position: RN
Credential: RN
Phone: 347-531-0332