The Visiting Nurse Service of New York, also known as VNSNY, is one of the largest nonprofit home health care organizations in the United States. It serves more than 131,000 patients in the New York metro area. The organization has been a part of New York City since 1893. The Visiting Nurse Service of New York offers home- and community-based services. Its government affairs department works to maintain and expand programs that improve patients lives. The organization maintains a facility, the Center for Home Care Policy & Research. In addition, the Visiting Nurse Service of New York operates various subsidiaries, including VNS Home Care, Partners in Care and Family Care Services. It provides training programs for nurses and nurse practitioners. The organization offers services 24 hours a day, 7 days a week. The Visiting Nurse Service of New York has a staff of over 12,600 employees. Its service areas include Nassau and Westchester counties in New York.