Provider Demographics
NPI:1003050220
Name:VIGILANT HEALTHCARE, LLC
Entity Type:Organization
Organization Name:VIGILANT HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STEPHANIE NASH
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:NASH
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:757-966-7271
Mailing Address - Street 1:1806 HAYWARD AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-2200
Mailing Address - Country:US
Mailing Address - Phone:757-966-7271
Mailing Address - Fax:
Practice Address - Street 1:1806 HAYWARD AVE
Practice Address - Street 2:SUITE D
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-2200
Practice Address - Country:US
Practice Address - Phone:757-966-7271
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-01
Last Update Date:2009-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health