Provider Demographics
NPI:1558732016
Name:VIRGINIA LUTHERAN HOMES HOME CARE, INC.
Entity Type:Organization
Organization Name:VIRGINIA LUTHERAN HOMES HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BIRD
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:540-562-5443
Mailing Address - Street 1:3807 BRANDON AVE SW
Mailing Address - Street 2:SUITE 2440
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-1490
Mailing Address - Country:US
Mailing Address - Phone:540-562-5443
Mailing Address - Fax:540-562-5465
Practice Address - Street 1:3807 BRANDON AVE SW
Practice Address - Street 2:SUITE 2440
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-1490
Practice Address - Country:US
Practice Address - Phone:540-562-5443
Practice Address - Fax:540-562-5465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-09
Last Update Date:2015-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health