Provider Demographics
NPI:1093182560
Name:VL HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:VL HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:VARDYNG
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-533-1193
Mailing Address - Street 1:100 N WASHINGTON ST STE 302
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-4516
Mailing Address - Country:US
Mailing Address - Phone:703-533-1193
Mailing Address - Fax:703-533-1192
Practice Address - Street 1:100 N WASHINGTON ST STE 302
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-4516
Practice Address - Country:US
Practice Address - Phone:703-533-1193
Practice Address - Fax:703-533-1192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-31
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO16766251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health