Provider Demographics
NPI:1649618398
Name:VANN HOMECARE INC
Entity type:Organization
Organization Name:VANN HOMECARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:R
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-407-5060
Mailing Address - Street 1:801 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:TOMPKINSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42167-1002
Mailing Address - Country:US
Mailing Address - Phone:270-407-5060
Mailing Address - Fax:270-407-5063
Practice Address - Street 1:801 N MAIN ST
Practice Address - Street 2:
Practice Address - City:TOMPKINSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42167-1002
Practice Address - Country:US
Practice Address - Phone:270-407-5060
Practice Address - Fax:270-407-5063
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VANN HOMECARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-06-04
Last Update Date:2013-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies