Provider Demographics
NPI:1316357882
Name:V.N. SENIOR CARE, INC.
Entity Type:Organization
Organization Name:V.N. SENIOR CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:MIRANDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-358-5232
Mailing Address - Street 1:3281 WINERY RD
Mailing Address - Street 2:
Mailing Address - City:PAHRUMP
Mailing Address - State:NV
Mailing Address - Zip Code:89048-4845
Mailing Address - Country:US
Mailing Address - Phone:775-727-1261
Mailing Address - Fax:702-548-4152
Practice Address - Street 1:993 GOLD BEAR DR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-3846
Practice Address - Country:US
Practice Address - Phone:702-358-5232
Practice Address - Fax:702-548-4152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-05
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5679AGZ-7311500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)