Healthcare Provider Details

I. General information

NPI: 1962462481
Provider Name (Legal Business Name): VNA-COMMUNITY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2006
Last Update Date: 06/01/2023
Certification Date: 06/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1421 HIGHLAND AVE
ABINGTON PA
19001-2610
US

IV. Provider business mailing address

1421 HIGHLAND AVE
ABINGTON PA
19001-2610
US

V. Phone/Fax

Practice location:
  • Phone: 215-572-7880
  • Fax: 215-572-8024
Mailing address:
  • Phone: 215-572-7880
  • Fax: 215-572-8024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number11883601
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. RICHARD CIRKO
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 215-572-7880