Provider Demographics
NPI:1114637808
Name:HALLMARK PRO VNA LLC
Entity Type:Organization
Organization Name:HALLMARK PRO VNA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BAMPOE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-431-6542
Mailing Address - Street 1:9 BUFFINGTON PL
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-4504
Mailing Address - Country:US
Mailing Address - Phone:347-431-6542
Mailing Address - Fax:
Practice Address - Street 1:9 BUFFINGTON PL
Practice Address - Street 2:
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-4504
Practice Address - Country:US
Practice Address - Phone:347-431-6542
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-02
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health