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NPI Code Detail

MEDICARE: VISITING NURSE ASSOCIATION OF MID-OHIO

MEDICARE: VISITING NURSE ASSOCIATION OF MID-OHIO
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
1251E00000XHome Health AgencyOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11314932OTHEROHBUREAU OF WORKMANS COMP
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790735462
Entity Type Code : Organization
Provider Name (Legal Business Name) : VISITING NURSE ASSOCIATION OF MID-OHIO
Provider Business Mailing Address
First Line : 925 KEYNOTE CIR STE 300
Second Line :
City : BROOKLYN HEIGHTS
State : OH
Zip : 44131-1869
Country : US
Telephone Number : 216-694-4232
Fax Number : 216-694-4162
Provider Business Practice Location Address
First Line : 40 W 4TH ST
Second Line :
City : MANSFIELD
State : OH
Zip : 44902-1206
Country : US
Telephone Number : 419-522-4969
Fax Number : 216-694-4162
Authorized Official
Title or Position : PRESIDENT
Name : LISA KRISTOSIK
Credential : MSN, RN
Telephone Number : 216-902-7902
Provider Enumeration Date : 05/11/2006
Last Update Date : 07/08/2019

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40 W 4TH ST
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1790269561 — JENNIFER L ELLIOTT RN
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MANSFIELD, OH
44902-1206
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1619441144 — MR. MICHAEL MASON
Practice Location Address:
40 W 4TH ST
MANSFIELD, OH
44902-1206
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Practice Fax:
1174089122 — CHRISTIE LYNN PATRIE
Practice Location Address:
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Practice Fax:

Directions to “VISITING NURSE ASSOCIATION OF MID-OHIO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.