Provider Demographics
NPI:1710139126
Name:R.V. HOME CARE., DBA VISITING ANGELS
Entity Type:Organization
Organization Name:R.V. HOME CARE., DBA VISITING ANGELS
Other - Org Name:CARLOSANNA CRAFF, INC DBA VISITING ANGELS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:L
Authorized Official - Last Name:ROSE-VANWORMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-582-7800
Mailing Address - Street 1:15 N. CASCADE ST
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336
Mailing Address - Country:US
Mailing Address - Phone:509-582-7800
Mailing Address - Fax:509-582-7888
Practice Address - Street 1:15 N. CASCADE ST
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336
Practice Address - Country:US
Practice Address - Phone:509-582-7800
Practice Address - Fax:509-582-7888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-16
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X, 251J00000X
WAIHS.FS60563884251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care