Provider Demographics
NPI:1598986697
Name:VETERAN HOME HEALTH CARE AGENCY, INC
Entity Type:Organization
Organization Name:VETERAN HOME HEALTH CARE AGENCY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINITRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NELIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BADHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-392-9535
Mailing Address - Street 1:6043 NW 167TH ST
Mailing Address - Street 2:SUITE A-16
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-4326
Mailing Address - Country:US
Mailing Address - Phone:305-392-9535
Mailing Address - Fax:305-820-8422
Practice Address - Street 1:6043 NW 167TH STREET
Practice Address - Street 2:SUITE A-16
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-4342
Practice Address - Country:US
Practice Address - Phone:305-392-9535
Practice Address - Fax:305-820-8422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2008-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health