Provider Demographics
NPI:1013383637
Name:VMA HOME HEALTH
Entity Type:Organization
Organization Name:VMA HOME HEALTH
Other - Org Name:VMA HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:VASYL
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGURA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:440-888-7105
Mailing Address - Street 1:4527 LONGWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44134-3817
Mailing Address - Country:US
Mailing Address - Phone:440-888-7105
Mailing Address - Fax:
Practice Address - Street 1:4527 LONGWOOD AVE
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44134-3817
Practice Address - Country:US
Practice Address - Phone:440-888-7105
Practice Address - Fax:440-888-7105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-18
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHTK446063343800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0075282Medicaid