Provider Demographics
NPI:1265754774
Name:VOLUNTEERS OF AMERICA NORTH ALABAMA, INC.
Entity type:Organization
Organization Name:VOLUNTEERS OF AMERICA NORTH ALABAMA, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:H
Authorized Official - Last Name:TUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-830-2155
Mailing Address - Street 1:555 SPARKMAN DR NW STE 1622
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35816-3431
Mailing Address - Country:US
Mailing Address - Phone:256-830-2155
Mailing Address - Fax:256-830-2158
Practice Address - Street 1:555 SPARKMAN DR NW STE 1622
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35816-3431
Practice Address - Country:US
Practice Address - Phone:256-830-2155
Practice Address - Fax:256-830-2158
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VOLUNTEERS OF AMERICA, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-02-25
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALE6701251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL01-1596Medicare UPIN