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MOORESTOWN VISITING NURSE ASSOCIATION NPI 1205926037


NPI Information

NPI: 1205926037
Provider Name: MOORESTOWN VISITING NURSE ASSOCIATION

Other Name: THE FLU PROGRAM OF MOORESTOWN VISITING NURSE ASSOCIATION

Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 31D0118896

Address:
300 HARPER DR
MOORESTOWN, NJ
ZIP 08057
Phone: (856) 552-1300
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MOORESTOWN VISITING NURSE ASSOCIATION is a home health in Moorestown, NJ. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. MOORESTOWN VISITING NURSE ASSOCIATION NPI is 1205926037. The provider is registered as an organization entity type.
The provider Other Name Is The Flu Program Of Moorestown Visiting Nurse Association.

The provider's business location address is:

300 HARPER DR
MOORESTOWN, NJ
ZIP 08057-208
Phone: (856) 552-1300
Fax: (856) 552-1314

The provider's authorized official is Sean D Rabindranauth .
The authorized official title is Director, It And Patient Accounts and has the following contact phone number (856) 552-1300.

The CLIA number assigned to this NPI record is 31D0118896 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 9/27/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251E00000XHome Health80415NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1317048MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEYMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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