MEDICARE: SALEM AREA VISITING NURSE ASSOCIATION

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	NA	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255334868
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SALEM AREA VISITING NURSE ASSOCIATION

Provider Business Mailing Address
First Line	:	2525 SOUTHEAST BLVD
Second Line	:
City	:	SALEM
State	:	OH
Zip	:	44460-3464
Country	:	US
Telephone Number	:	330-332-9986
Fax Number	:	330-332-8899

Provider Business Practice Location Address
First Line	:	2525 SOUTHEAST BLVD
Second Line	:
City	:	SALEM
State	:	OH
Zip	:	44460-3464
Country	:	US
Telephone Number	:	330-332-9986
Fax Number	:	330-332-8899

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	BRENDA KAYS
Credential	:
Telephone Number	:	330-332-9986

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	01/02/2025

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Directions to “SALEM AREA VISITING NURSE ASSOCIATION ” Practice Location

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