Provider Demographics
NPI:1194214015
Name:VEMA CORPORATION
Entity Type:Organization
Organization Name:VEMA CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:YSABEAU
Authorized Official - Middle Name:
Authorized Official - Last Name:GRANDINETTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-298-2540
Mailing Address - Street 1:3927 W CHOLLA ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85029-3813
Mailing Address - Country:US
Mailing Address - Phone:602-298-2540
Mailing Address - Fax:
Practice Address - Street 1:3927 W CHOLLA ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85029-3813
Practice Address - Country:US
Practice Address - Phone:602-298-2540
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-07
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities