Provider Demographics
NPI:1629549696
Name:VOYAGER HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:VOYAGER HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:GALLION
Authorized Official - Suffix:
Authorized Official - Credentials:BN
Authorized Official - Phone:719-722-4516
Mailing Address - Street 1:1880 OFFICE CLUB PT STE 1900
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-5008
Mailing Address - Country:US
Mailing Address - Phone:719-722-4516
Mailing Address - Fax:877-337-4318
Practice Address - Street 1:1880 OFFICE CLUB PT STE 1900
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-5008
Practice Address - Country:US
Practice Address - Phone:719-722-4516
Practice Address - Fax:877-337-4318
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VOYAGER HOME HEALTH CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-12-17
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1578013017Medicaid