Provider Demographics
NPI:1013440049
Name:VNN HOME COMPANION SERVICES, INC.
Entity Type:Organization
Organization Name:VNN HOME COMPANION SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NENITA
Authorized Official - Middle Name:TUDAYAN
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-313-4187
Mailing Address - Street 1:3100 W SAHARA AVE
Mailing Address - Street 2:SUITE 217
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-6017
Mailing Address - Country:US
Mailing Address - Phone:702-818-4160
Mailing Address - Fax:702-444-5286
Practice Address - Street 1:3100 W SAHARA AVE
Practice Address - Street 2:SUITE 217
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-6008
Practice Address - Country:US
Practice Address - Phone:702-818-4160
Practice Address - Fax:702-444-5286
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VNN HOME COMPANION SERVICES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-04-06
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8547-PCS-0253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care