Healthcare Provider Details

I. General information

NPI: 1891741138
Provider Name (Legal Business Name): VISITING NURSE ASSN OF HANOVER & SPRING GROVE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 07/08/2020
Certification Date: 07/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 N. MADISON STREET
HANOVER PA
17331
US

IV. Provider business mailing address

440 N. MADISON STREET
HANOVER PA
17331
US

V. Phone/Fax

Practice location:
  • Phone: 717-637-1227
  • Fax: 717-637-9772
Mailing address:
  • Phone: 717-637-1227
  • Fax: 717-637-9772

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number706105
License Number StatePA

VIII. Authorized Official

Name: MR. BRYAN S WARNER
Title or Position: PRESIDENT/CEO
Credential:
Phone: 717-637-1227