Provider Demographics
NPI:1669163382
Name:VITALHANDS HOME CARE AGENCY LLC
Entity type:Organization
Organization Name:VITALHANDS HOME CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RUDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:DANGAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-623-8609
Mailing Address - Street 1:709 YANKEE LN
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-3556
Mailing Address - Country:US
Mailing Address - Phone:717-623-8609
Mailing Address - Fax:
Practice Address - Street 1:709 YANKEE LN
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-3556
Practice Address - Country:US
Practice Address - Phone:717-623-8609
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health