Provider Demographics
NPI:1528593571
Name:VISITING CAREGIVERS OF AMERICA LLC
Entity Type:Organization
Organization Name:VISITING CAREGIVERS OF AMERICA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZIGNIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LUGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-704-5102
Mailing Address - Street 1:4317 TEMPLAR DRIVE
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23703-3923
Mailing Address - Country:US
Mailing Address - Phone:973-704-5102
Mailing Address - Fax:
Practice Address - Street 1:4317 TEMPLAR DRIVE
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23703-3923
Practice Address - Country:US
Practice Address - Phone:973-704-5102
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-27
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health