Healthcare Provider Details

I. General information

NPI: 1790758928
Provider Name (Legal Business Name): CLARION FOREST VNA, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2006
Last Update Date: 07/21/2022
Certification Date: 07/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

271 PERKINS RD
CLARION PA
16214-8535
US

IV. Provider business mailing address

271 PERKINS RD
CLARION PA
16214-8535
US

V. Phone/Fax

Practice location:
  • Phone: 814-297-8400
  • Fax: 814-297-8801
Mailing address:
  • Phone: 814-297-8400
  • Fax: 814-297-8801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number711605
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier000000095541
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerTHREE RIVERS MED
# 2
Identifier103977
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerUPMC
# 3
Identifier079219800
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerBLACK LUNG
# 4
Identifier0010815400001
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer
# 5
Identifier332758
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerADVANTRA
# 6
Identifier0754
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerBLUE CROSS VNA
# 7
Identifier2402
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerHEALTH AMER/HEALTH ASSURA
# 8
Identifier5556135
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerAETNA COMMERCIAL

VIII. Authorized Official

Name: MRS. COLETTE VICKERS
Title or Position: CFO
Credential:
Phone: 814-297-8400