Provider Demographics
NPI:1225416373
Name:VERNEDA'S IN HOME COMPANION SERVICES
Entity Type:Organization
Organization Name:VERNEDA'S IN HOME COMPANION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-333-9101
Mailing Address - Street 1:3609 AVENUE S
Mailing Address - Street 2:
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34947-5660
Mailing Address - Country:US
Mailing Address - Phone:772-475-7317
Mailing Address - Fax:
Practice Address - Street 1:3609 AVENUE S
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34947-5660
Practice Address - Country:US
Practice Address - Phone:772-475-7317
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-09
Last Update Date:2015-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health