Provider Demographics
NPI:1225548332
Name:VICARAH, LLC
Entity Type:Organization
Organization Name:VICARAH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:AIME
Authorized Official - Middle Name:LEBLEGON
Authorized Official - Last Name:YOHOU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:203-913-3582
Mailing Address - Street 1:941 EAST MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06608
Mailing Address - Country:US
Mailing Address - Phone:203-583-7050
Mailing Address - Fax:203-374-5745
Practice Address - Street 1:941 EAST MAIN STREET
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06608
Practice Address - Country:US
Practice Address - Phone:203-583-7050
Practice Address - Fax:203-374-5745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-03
Last Update Date:2017-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health