Provider Demographics
NPI:1144344987
Name:VISITING NURSE ASSOCIATION OF ST. LUKE'S HOME HEALTH / HOSPICE, INC.
Entity type:Organization
Organization Name:VISITING NURSE ASSOCIATION OF ST. LUKE'S HOME HEALTH / HOSPICE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:A
Authorized Official - Last Name:GIOVANNI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:484-526-1100
Mailing Address - Street 1:240 UNION STATION PLZ
Mailing Address - Street 2:FIRST FLOOR
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18015-1281
Mailing Address - Country:US
Mailing Address - Phone:484-526-1100
Mailing Address - Fax:484-526-2810
Practice Address - Street 1:1510 VALLEY CENTER PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-2267
Practice Address - Country:US
Practice Address - Phone:610-954-1100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VNA OF ST LUKES HOME HEALTH HOS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-19
Last Update Date:2016-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100746136 0005Medicaid