Healthcare Provider Details

I. General information

NPI: 1376536011
Provider Name (Legal Business Name): VNA EXTENDED CARE SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2005
Last Update Date: 01/26/2023
Certification Date: 01/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 MAIN STREET
SHIPPENVILLE PA
16254-0100
US

IV. Provider business mailing address

PO BOX 100 405 MAIN STREET
SHIPPENVILLE PA
16254-0100
US

V. Phone/Fax

Practice location:
  • Phone: 814-297-8400
  • Fax: 814-782-3957
Mailing address:
  • Phone: 814-782-3036
  • Fax: 814-782-3957

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number01040500
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LISA STEINER
Title or Position: CEO
Credential: RN, BSN
Phone: 814-297-8541