Provider Demographics
NPI:1497021026
Name:VIP HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:VIP HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:NADIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KALOGERAKOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-390-0490
Mailing Address - Street 1:1796 CLOVE RD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10304-1608
Mailing Address - Country:US
Mailing Address - Phone:718-390-0490
Mailing Address - Fax:718-390-0473
Practice Address - Street 1:1796 CLOVE RD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10304-1608
Practice Address - Country:US
Practice Address - Phone:718-390-0490
Practice Address - Fax:718-390-0473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-28
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies