MEDICARE: VISITING NURSE ASSOCIATION HEALTH SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency		MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0E060	OTHER	MI	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083601066
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISITING NURSE ASSOCIATION HEALTH SERVICES

Provider Business Mailing Address
First Line	:	3403 LAPEER RD STE B101
Second Line	:
City	:	PORT HURON
State	:	MI
Zip	:	48060-3013
Country	:	US
Telephone Number	:	810-984-4131
Fax Number	:	877-910-1980

Provider Business Practice Location Address
First Line	:	3403 LAPEER ROAD
Second Line	:	BLDG B, SUITE 101
City	:	PORT HURON
State	:	MI
Zip	:	48060-2597
Country	:	US
Telephone Number	:	810-984-4131
Fax Number	:	810-984-0019

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	ANGELA DELAERE
Credential	:
Telephone Number	:	586-405-8116

Provider Enumeration Date	:	10/04/2005
Last Update Date	:	11/20/2023

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