Provider Demographics
NPI:1013959626
Name:VICENZA HOME HEALTH CARE SERVICES, INC.
Entity Type:Organization
Organization Name:VICENZA HOME HEALTH CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NOEL
Authorized Official - Middle Name:PRINCE
Authorized Official - Last Name:ANYANWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-882-0568
Mailing Address - Street 1:1232 RACE RD STE 303
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-2382
Mailing Address - Country:US
Mailing Address - Phone:410-882-0568
Mailing Address - Fax:410-882-7050
Practice Address - Street 1:1232 RACE ROAD
Practice Address - Street 2:STE# 303
Practice Address - City:ROSEDALE
Practice Address - State:MD
Practice Address - Zip Code:21237-2123
Practice Address - Country:US
Practice Address - Phone:410-882-0568
Practice Address - Fax:410-882-7050
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VICENZA HOME HEALTH CARE SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-11
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2310251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health