Provider Demographics
NPI:1770556920
Name:VISITING NURSES ASSOCIATION OF BURLINGTONIOWA
Entity type:Organization
Organization Name:VISITING NURSES ASSOCIATION OF BURLINGTONIOWA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIM
Authorized Official - Middle Name:JANEEN
Authorized Official - Last Name:HELMICK
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:319-752-6469
Mailing Address - Street 1:2830 WINEGARD DR
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:IA
Mailing Address - Zip Code:52601-2056
Mailing Address - Country:US
Mailing Address - Phone:319-752-6469
Mailing Address - Fax:319-752-7178
Practice Address - Street 1:2830 WINEGARD DR
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:IA
Practice Address - Zip Code:52601-2056
Practice Address - Country:US
Practice Address - Phone:319-752-6469
Practice Address - Fax:319-752-7178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-08
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0670067Medicaid
IA67006OtherWELLMARK BLUE CROSS INS.
IA167006Medicare ID - Type Unspecified