Provider Demographics
NPI:1962459560
Name:V-CARE HOME HEALTH LLC
Entity Type:Organization
Organization Name:V-CARE HOME HEALTH LLC
Other - Org Name:V-CARE HOME HEALTH INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RADHAKRISHNAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:PANICKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-455-8630
Mailing Address - Street 1:5200 PAIGE RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056-2121
Mailing Address - Country:US
Mailing Address - Phone:214-618-4784
Mailing Address - Fax:214-618-4794
Practice Address - Street 1:5200 PAIGE RD
Practice Address - Street 2:SUITE 400
Practice Address - City:THE COLONY
Practice Address - State:TX
Practice Address - Zip Code:75056-2121
Practice Address - Country:US
Practice Address - Phone:214-618-4784
Practice Address - Fax:214-618-4794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009559251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX009559OtherSTATE LICENSE NUMBER
TX45-7957Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER