Provider Demographics
NPI:1598288789
Name:VETTER HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:VETTER HOME HEALTH CARE LLC
Other - Org Name:BROOKESTONE HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JACK
Authorized Official - Middle Name:
Authorized Official - Last Name:VETTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-895-3932
Mailing Address - Street 1:18460 WRIGHT ST STE 1
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68130-2400
Mailing Address - Country:US
Mailing Address - Phone:402-932-9406
Mailing Address - Fax:402-932-2149
Practice Address - Street 1:18460 WRIGHT ST STE 1
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68130-2400
Practice Address - Country:US
Practice Address - Phone:402-932-9406
Practice Address - Fax:402-932-2149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-20
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health