Provider Demographics
NPI:1871797373
Name:VIP HOMECARE INC
Entity type:Organization
Organization Name:VIP HOMECARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN JD
Authorized Official - Phone:330-929-9991
Mailing Address - Street 1:545 E CUYAHOGA FALLS AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44310-1550
Mailing Address - Country:US
Mailing Address - Phone:330-929-9991
Mailing Address - Fax:330-929-9901
Practice Address - Street 1:545 E CUYAHOGA FALLS AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44310-1550
Practice Address - Country:US
Practice Address - Phone:330-929-9991
Practice Address - Fax:330-929-9901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-11
Last Update Date:2007-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health