Provider Demographics
NPI:1083776413
Name:VCP HOME HEALTH AGENCY INC
Entity Type:Organization
Organization Name:VCP HOME HEALTH AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:OSOBASE
Authorized Official - Last Name:EMUAKHAGBON
Authorized Official - Suffix:
Authorized Official - Credentials:CFO
Authorized Official - Phone:972-579-0223
Mailing Address - Street 1:626 N BRITAIN ROAD
Mailing Address - Street 2:SUITE A
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75061
Mailing Address - Country:US
Mailing Address - Phone:972-579-0223
Mailing Address - Fax:972-721-0058
Practice Address - Street 1:626 N BRITAIN ROAD
Practice Address - Street 2:SUITE A
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061
Practice Address - Country:US
Practice Address - Phone:972-579-0223
Practice Address - Fax:972-721-0058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679207Medicare ID - Type Unspecified