Provider Demographics
NPI:1073886735
Name:VCP HOME HEALTH CARE BAY AREA INC.
Entity Type:Organization
Organization Name:VCP HOME HEALTH CARE BAY AREA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:ZENAIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PENETRANTE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:510-285-7800
Mailing Address - Street 1:2909 MCCLURE ST
Mailing Address - Street 2:BOTTOM FLOOR SUITE
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-3504
Mailing Address - Country:US
Mailing Address - Phone:510-285-7800
Mailing Address - Fax:
Practice Address - Street 1:2909 MCCLURE ST
Practice Address - Street 2:BOTTOM FLOOR SUITE
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-3504
Practice Address - Country:US
Practice Address - Phone:510-285-7800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-10
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health