Provider Demographics
NPI:1780194548
Name:VIE HOME HEALTH LLC
Entity Type:Organization
Organization Name:VIE HOME HEALTH LLC
Other - Org Name:VIE HOME CARE LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VIVIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:YIMGA NGASSAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-949-0986
Mailing Address - Street 1:44330 MERCURE CIR STE 100V
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20166-2023
Mailing Address - Country:US
Mailing Address - Phone:703-949-0986
Mailing Address - Fax:
Practice Address - Street 1:44330 MERCURE CIR STE 100V
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20166-2023
Practice Address - Country:US
Practice Address - Phone:703-949-0986
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-06
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1780194548Medicaid