Provider Demographics
NPI:1518602515
Name:VERONA HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:VERONA HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO/CFO/SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:IVAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GORSKIKH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-891-8891
Mailing Address - Street 1:9608 VAN NUYS BLVD STE 208
Mailing Address - Street 2:
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-1043
Mailing Address - Country:US
Mailing Address - Phone:818-891-8891
Mailing Address - Fax:818-891-8892
Practice Address - Street 1:9608 VAN NUYS BLVD STE 208
Practice Address - Street 2:
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-1043
Practice Address - Country:US
Practice Address - Phone:818-891-8891
Practice Address - Fax:818-891-8892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-03
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health