Provider Demographics
NPI:1033513056
Name:HOME CARE VNA, LLC
Entity Type:Organization
Organization Name:HOME CARE VNA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CONSTANT
Authorized Official - Middle Name:ODUOR
Authorized Official - Last Name:OGUTT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:978-726-8563
Mailing Address - Street 1:33O MAIN STREET 3RD FL00R SUITE C-3
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106-1851
Mailing Address - Country:US
Mailing Address - Phone:978-726-8563
Mailing Address - Fax:186-688-6118
Practice Address - Street 1:33O MAIN STREET 3RD FL00R SUITE C-3
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-1851
Practice Address - Country:US
Practice Address - Phone:978-726-8563
Practice Address - Fax:186-688-6118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-20
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health