Provider Demographics
NPI:1205910940
Name:VC SERVICES LLC
Entity type:Organization
Organization Name:VC SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KHALIL
Authorized Official - Middle Name:J
Authorized Official - Last Name:TAREEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-324-1515
Mailing Address - Street 1:55 BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:METUCHEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08840-2278
Mailing Address - Country:US
Mailing Address - Phone:732-324-1515
Mailing Address - Fax:732-324-1551
Practice Address - Street 1:55 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:METUCHEN
Practice Address - State:NJ
Practice Address - Zip Code:08840-2278
Practice Address - Country:US
Practice Address - Phone:732-324-1515
Practice Address - Fax:732-324-1551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0061900251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJHP0061900OtherHEALTH CARE SERVICE FIRM
NJ0081515Medicaid