Organization
VISITING NURSE ASSOCIATION OF PORTER COUNTY, INDIANA, INC.
Active
Parent organization
VISITING NURSE ASSOCIATION OF PORTER COUNTY, IN., INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
VISITING NURSE ASSOCIATION OF PORTER COUNTY, IN., INC
Authorized official
MRS. KATHLEEN HOLYCROSS (PRESIDENT / CEO)
(219) 531-8053
Entity
Organization
Contact information
Practice address
2401 VALLEY DR, VALPARAISO, IN 46383-2520
(219) 462-5195
(219) 462-6020
Mailing address
2401 VALLEY DR, VALPARAISO, IN 46383-2520
(219) 462-5195
(219) 462-6020
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
06-005259-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000097849
ANTHEM
IN
01
—
0998018
AETNA-HMO
IN
05
—
100272520
—
IN
05
—
200342870
—
IN
01
—
4464973
AETNA-PPO
IN
01
—
5051
BLUE CROSS OF ILLINOIS
IN
Enumeration date
07/03/2006
Last updated
08/14/2012
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