Provider Demographics
NPI:1154626976
Name:VIAQUEST HOME HEALTH, LLC
Entity Type:Organization
Organization Name:VIAQUEST HOME HEALTH, LLC
Other - Org Name:VIAQUEST HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REGIONAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:937-280-2000
Mailing Address - Street 1:300 W NATIONAL RD
Mailing Address - Street 2:
Mailing Address - City:VANDALIA
Mailing Address - State:OH
Mailing Address - Zip Code:45377-1928
Mailing Address - Country:US
Mailing Address - Phone:937-280-2000
Mailing Address - Fax:937-280-2051
Practice Address - Street 1:300 W NATIONAL RD
Practice Address - Street 2:
Practice Address - City:VANDALIA
Practice Address - State:OH
Practice Address - Zip Code:45377-1928
Practice Address - Country:US
Practice Address - Phone:937-280-2000
Practice Address - Fax:937-280-2051
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VIAQUEST HOME HEALTH, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-01-26
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health