Provider Demographics
NPI: | 1356665897 |
---|---|
Name: | VOLUNTEERS OF AMERICA HOME HEALTH SERVICES |
Entity Type: | Organization |
Organization Name: | VOLUNTEERS OF AMERICA HOME HEALTH SERVICES |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | ASSISTANT SECRETARY/ASSISTANT TREAS |
Authorized Official - Prefix: | |
Authorized Official - First Name: | NANCY |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | GAVIN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 952-941-0305 |
Mailing Address - Street 1: | 7485 OFFICE RIDGE CIR |
Mailing Address - Street 2: | |
Mailing Address - City: | EDEN PRAIRIE |
Mailing Address - State: | MN |
Mailing Address - Zip Code: | 55344-3690 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 952-941-0305 |
Mailing Address - Fax: | 952-941-0428 |
Practice Address - Street 1: | 11400 4TH ST N |
Practice Address - Street 2: | |
Practice Address - City: | MINNETONKA |
Practice Address - State: | MN |
Practice Address - Zip Code: | 55343-3603 |
Practice Address - Country: | US |
Practice Address - Phone: | 952-933-1752 |
Practice Address - Fax: | 952-933-0730 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2010-03-25 |
Last Update Date: | 2021-02-05 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
MN | 251E00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251E00000X | Agencies | Home Health |