=====================================================
General NPI Number Information
=====================================================
NPI Number | 1639440951
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VISITING NURSE ASSOCIATION OF GREATER CINCINNATI & NORTHERN KENTUCKY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/18/2012
-----------------------------------------------------
Last Update Date | 11/14/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 601 WASHINGTON AVE
-----------------------------------------------------
City | NEWPORT
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 41071-1986
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 859-344-1661
-----------------------------------------------------
Fax | 859-344-8601
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 601 WASHINGTON AVE
-----------------------------------------------------
City | NEWPORT
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 41071-1986
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 859-344-1661
-----------------------------------------------------
Fax | 859-344-8601
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT AND CEO
-----------------------------------------------------
Name | VALERIE K LANDELL
-----------------------------------------------------
Credential | RNC, BSN
-----------------------------------------------------
Telephone | 513-345-8005
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251B00000X
-----------------------------------------------------
Taxonomy Name | Case Management Agency
-----------------------------------------------------
License Number | 42540021
-----------------------------------------------------
License Number State | KY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 34540013
-----------------------------------------------------
License Number State | KY
-----------------------------------------------------