Provider Demographics
NPI:1518279249
Name:VILLAGE HOME CARE, INC
Entity Type:Organization
Organization Name:VILLAGE HOME CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:H
Authorized Official - Last Name:GORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-536-1342
Mailing Address - Street 1:PO BOX 7245
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35807-1245
Mailing Address - Country:US
Mailing Address - Phone:256-536-1342
Mailing Address - Fax:256-533-2979
Practice Address - Street 1:3302 TRIANA BLVD SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35805-4644
Practice Address - Country:US
Practice Address - Phone:256-536-1342
Practice Address - Fax:256-533-2979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-10
Last Update Date:2010-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health