Provider Demographics
NPI:1528357985
Name:VERDUN HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:VERDUN HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:MS
Authorized Official - First Name:FALLON
Authorized Official - Middle Name:
Authorized Official - Last Name:VOLCY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-629-6056
Mailing Address - Street 1:1131 E 103RD ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-4523
Mailing Address - Country:US
Mailing Address - Phone:718-629-6056
Mailing Address - Fax:
Practice Address - Street 1:23218 MERRICK BLVD
Practice Address - Street 2:
Practice Address - City:LAURELTON
Practice Address - State:NY
Practice Address - Zip Code:11413-2115
Practice Address - Country:US
Practice Address - Phone:718-528-3432
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-06
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY304460251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health