Organization
DEACONESS VNA PLUS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEIGH ANN GAMBLE (OFFICER)
(812) 450-3980
Entity
Organization
Contact information
Practice address
611 HARRIET ST, EVANSVILLE, IN 47710-1773
(812) 425-3561
(812) 463-4600
Mailing address
611 HARRIET ST, EVANSVILLE, IN 47710-1773
(812) 425-3561
(812) 463-4600
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
150123
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147311
MEDICARE- ILLINOIS
IL
01
—
157004
MEDICARE- INDIANA
IN
01
—
186268
BLUE CROSS EVANSVILLE
IN
01
—
323484
BLUE CROSS TELL CITY
IN
01
—
323485
BLUE CROSS PRINCETON
IN
01
—
V255P (657A5)-1475
VA PROVIDER- MARION, IL
IL
Enumeration date
02/28/2013
Last updated
11/21/2023
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