Provider Demographics
NPI:1740579465
Name:VGMCCALLA ENTERPRISES, INC.
Entity Type:Organization
Organization Name:VGMCCALLA ENTERPRISES, INC.
Other - Org Name:COMFORCARE SENIOR SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VERN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCALLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-258-9843
Mailing Address - Street 1:301 VILLAGE SQ
Mailing Address - Street 2:
Mailing Address - City:ORINDA
Mailing Address - State:CA
Mailing Address - Zip Code:94563-2505
Mailing Address - Country:US
Mailing Address - Phone:925-258-9840
Mailing Address - Fax:925-258-9843
Practice Address - Street 1:301 VILLAGE SQ
Practice Address - Street 2:
Practice Address - City:ORINDA
Practice Address - State:CA
Practice Address - Zip Code:94563-2505
Practice Address - Country:US
Practice Address - Phone:925-258-9840
Practice Address - Fax:925-258-9843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-04
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care