Provider Demographics
NPI:1568001162
Name:VMKJ HEALTHCARE LLC
Entity Type:Organization
Organization Name:VMKJ HEALTHCARE LLC
Other - Org Name:LIFE TOUCH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROD
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVARADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-591-5106
Mailing Address - Street 1:10031 LAMPSON AVE
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92840-4716
Mailing Address - Country:US
Mailing Address - Phone:714-591-5106
Mailing Address - Fax:800-498-1631
Practice Address - Street 1:10031 LAMPSON AVE
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92840-4716
Practice Address - Country:US
Practice Address - Phone:714-591-5106
Practice Address - Fax:800-498-1631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-30
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based