Provider Demographics
NPI:1740321264
Name:VNA HOME HEALTH SYSTEMS
Entity type:Organization
Organization Name:VNA HOME HEALTH SYSTEMS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RAJNIT
Authorized Official - Middle Name:K
Authorized Official - Last Name:WALIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-263-4705
Mailing Address - Street 1:2500 RED HILL AVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-5518
Mailing Address - Country:US
Mailing Address - Phone:949-263-4700
Mailing Address - Fax:949-263-4809
Practice Address - Street 1:2500 RED HILL AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-5518
Practice Address - Country:US
Practice Address - Phone:949-263-4700
Practice Address - Fax:949-263-4809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZT07021FMedicaid
CA05-7021Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER