Provider Demographics
NPI:1417222001
Name:VIATUS, INC
Entity Type:Organization
Organization Name:VIATUS, INC
Other - Org Name:JOURNEY OF LIFE HOME HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:915-355-2024
Mailing Address - Street 1:6090 SURETY DR STE 110E
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79905-2072
Mailing Address - Country:US
Mailing Address - Phone:915-774-0347
Mailing Address - Fax:915-774-0466
Practice Address - Street 1:6090 SURETY DR STE 110-E
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905-2061
Practice Address - Country:US
Practice Address - Phone:915-774-0347
Practice Address - Fax:915-774-0466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-14
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3155582Medicaid