Provider Demographics
NPI:1043594443
Name:VASCONCELLOS, INC.
Entity Type:Organization
Organization Name:VASCONCELLOS, INC.
Other - Org Name:HOME INSTEAD SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:VASCONCELLOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-576-1250
Mailing Address - Street 1:400 TECHNE CENTER DR
Mailing Address - Street 2:SUITE 400
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-2792
Mailing Address - Country:US
Mailing Address - Phone:513-576-1250
Mailing Address - Fax:513-576-1252
Practice Address - Street 1:400 TECHNE CENTER DR
Practice Address - Street 2:SUITE 400
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-2792
Practice Address - Country:US
Practice Address - Phone:513-576-1250
Practice Address - Fax:513-576-1252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-04
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health