=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386631513
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEIGHBORHOOD VISITING NURSE ASSOCIATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/03/2005
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 795 E MARSHALL ST SUITE 204
-----------------------------------------------------
City | WEST CHESTER
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19380-4400
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 610-696-6511
-----------------------------------------------------
Fax | 610-344-7064
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 795 E MARSHALL ST SUITE 204
-----------------------------------------------------
City | WEST CHESTER
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19380-4400
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 610-696-6511
-----------------------------------------------------
Fax | 610-344-7064
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | VP/COO
-----------------------------------------------------
Name | MISS ANDREA DEVOTI
-----------------------------------------------------
Credential | MSN, MBA
-----------------------------------------------------
Telephone | 610-696-6511
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 700905
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------