MEDICARE: VISITING NURSE ASSOCIATION OF JOHNSON COUNTY

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	67014	OTHER	IA	BLUE CROSS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558361006
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISITING NURSE ASSOCIATION OF JOHNSON COUNTY

Provider Business Mailing Address
First Line	:	1524 SYCAMORE ST
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52240-6021
Country	:	US
Telephone Number	:	319-337-9686
Fax Number	:	319-337-5566

Provider Business Practice Location Address
First Line	:	1524 SYCAMORE ST
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52240-6021
Country	:	US
Telephone Number	:	319-337-9686
Fax Number	:	319-337-5566

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	SUELLEN NOVOTNY
Credential	:	RN, BS/BA, MHA
Telephone Number	:	319-337-9686

Provider Enumeration Date	:	07/27/2005
Last Update Date	:	09/01/2015

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Directions to “VISITING NURSE ASSOCIATION OF JOHNSON COUNTY ” Practice Location

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