MEDICARE: VISITING NURSE ASSOCIATION OF GTR. YOUNGSTOWN

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		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	:	1790788917
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISITING NURSE ASSOCIATION OF GTR. YOUNGSTOWN

Provider Business Mailing Address
First Line	:	518 E INDIANOLA AVE
Second Line	:
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44502-2320
Country	:	US
Telephone Number	:	330-782-5606
Fax Number	:	330-782-5600

Provider Business Practice Location Address
First Line	:	518 E INDIANOLA AVE
Second Line	:
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44502-2320
Country	:	US
Telephone Number	:	330-782-5606
Fax Number	:	330-782-5600

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MRS. SUZANNE TUCCI
Credential	:
Telephone Number	:	330-782-5606

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	07/21/2022

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