Basic Information
| Provider Information | |||||||||
| NPI: | 1568485449 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | VNA HOSPICE SERVICES | ||||||||
| LastName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 540 S GEORGE ST | ||||||||
| Address2: | |||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174012732 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178124433 | ||||||||
| FaxNumber: | 7178128189 | ||||||||
| Practice Location | |||||||||
| Address1: | 540 S GEORGE ST | ||||||||
| Address2: | |||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174012732 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178124433 | ||||||||
| FaxNumber: | 7178128189 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/25/2006 | ||||||||
| LastUpdateDate: | 08/04/2010 | ||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | HOPPLE | ||||||||
| AuthorizedOfficialFirstName: | JULIA | ||||||||
| AuthorizedOfficialMiddleName: | J | ||||||||
| AuthorizedOfficialTitleorPosition: | VNA PRESIDENT/WELLSPAN VP HOME CARE | ||||||||
| AuthorizedOfficialTelephone: | 7178125305 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | WELLSPAN VNA HOME CARE | ||||||||
| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | RN, BSN, MSA | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251G00000X | 155499 | PA | Y | Agencies | Hospice Care, Community Based |
ID Information
| ID | Type | State | Issuer | Description | 1007786210001 | 05 | PA | MEDICAID | 391908 | 01 | PA | CAPITAL BLUECROSS LEGACY | OTHER | 113227 | 05 | PA | MEDICAID | 1504307 | 05 | PA | MEDICAID | 20007549 | 05 | PA | MEDICAID |