MEDICARE: THE VISITING NURSE ASSOCIATION OF GREATER PHILADELPHIA

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	700505	PA

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
2	0007550000	OTHER	PA	IBC PROVIDER NUMBER
3	10091	OTHER	PA	HEALTH & SR PARTNERS PROV

General Provider Information

NPI Number	:	1942256268
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE VISITING NURSE ASSOCIATION OF GREATER PHILADELPHIA

Provider Business Mailing Address
First Line	:	4601 MARKET ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19139-4636
Country	:	US
Telephone Number	:	215-473-0772
Fax Number	:	215-473-7910

Provider Business Practice Location Address
First Line	:	4601 MARKET ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19139-4636
Country	:	US
Telephone Number	:	215-473-0772
Fax Number	:	215-473-7910

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	KAREN SINCLAIR
Credential	:
Telephone Number	:	215-473-0772

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	11/20/2023

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