Provider Demographics
NPI:1700539764
Name:VIRTUE HOME CARE INC
Entity type:Organization
Organization Name:VIRTUE HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TARA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARGERUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-649-4915
Mailing Address - Street 1:1641 S RIMHURST AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91740-5631
Mailing Address - Country:US
Mailing Address - Phone:818-649-4915
Mailing Address - Fax:
Practice Address - Street 1:1641 S RIMHURST AVE
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91740-5631
Practice Address - Country:US
Practice Address - Phone:818-649-4915
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-31
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care