Healthcare Provider Details

I. General information

NPI: 1164653341
Provider Name (Legal Business Name): THE VISITING NURSE ASSOCIATION OF GREATER PHILADELPHIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2009
Last Update Date: 11/20/2023
Certification Date: 11/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 S 54TH ST
PHILADELPHIA PA
19143-1900
US

IV. Provider business mailing address

4601 MARKET ST
PHILADELPHIA PA
19139-4636
US

V. Phone/Fax

Practice location:
  • Phone: 215-581-2046
  • Fax: 215-581-2049
Mailing address:
  • Phone: 215-473-0772
  • Fax: 215-473-7910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number157499
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: KAREN SINCLAIR
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 215-581-2046