Provider Demographics
NPI:1891747978
Name:VN HOME HEALTH CARE
Entity Type:Organization
Organization Name:VN HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HUMAN RESOURCES
Authorized Official - Prefix:MR
Authorized Official - First Name:ELIAS
Authorized Official - Middle Name:L
Authorized Official - Last Name:HEREDIA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:408-998-0550
Mailing Address - Street 1:2528 QUME DR
Mailing Address - Street 2:SUITE 7
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95131-1836
Mailing Address - Country:US
Mailing Address - Phone:408-998-0550
Mailing Address - Fax:408-998-8984
Practice Address - Street 1:2528 QUME DR
Practice Address - Street 2:SUITE 7
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95131-1836
Practice Address - Country:US
Practice Address - Phone:408-998-0550
Practice Address - Fax:408-998-8984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2012-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA070000706251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA08278FMedicaid
CA05-8278Medicare ID - Type Unspecified