Provider Demographics
NPI:1619991122
Name:21ST CENTURY V.I.P. HEALTH CARE AND HOME SERVICES
Entity Type:Organization
Organization Name:21ST CENTURY V.I.P. HEALTH CARE AND HOME SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:GILERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:972-335-3658
Mailing Address - Street 1:4120 OXLEA DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-7218
Mailing Address - Country:US
Mailing Address - Phone:972-335-3658
Mailing Address - Fax:972-618-3503
Practice Address - Street 1:4120 OXLEA DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-7218
Practice Address - Country:US
Practice Address - Phone:972-335-3658
Practice Address - Fax:972-618-3503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health