Provider Demographics
NPI:1275733610
Name:VCP HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:VCP HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARMELITA
Authorized Official - Middle Name:AFRICA
Authorized Official - Last Name:VALERA
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN LNHA
Authorized Official - Phone:815-531-7935
Mailing Address - Street 1:1100 ESSINGTON RD
Mailing Address - Street 2:SUITE # 5
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-8425
Mailing Address - Country:US
Mailing Address - Phone:815-725-7391
Mailing Address - Fax:815-725-7392
Practice Address - Street 1:1100 ESSINGTON RD
Practice Address - Street 2:SUITE # 5
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-8425
Practice Address - Country:US
Practice Address - Phone:815-725-7391
Practice Address - Fax:815-725-7392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-24
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health