Provider Demographics
NPI:1871941161
Name:VANGUARD HOME CARE, LLC
Entity type:Organization
Organization Name:VANGUARD HOME CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP GOVT PROGRAMS, TENET HEALTHCARE
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:C
Authorized Official - Last Name:ARMIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-775-8040
Mailing Address - Street 1:1445 ROSS AVE
Mailing Address - Street 2:SUITE 1400
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75202-2711
Mailing Address - Country:US
Mailing Address - Phone:615-665-6038
Mailing Address - Fax:
Practice Address - Street 1:2315 ENTERPRISE DR
Practice Address - Street 2:STE 110
Practice Address - City:WESTCHESTER
Practice Address - State:IL
Practice Address - Zip Code:60154-5811
Practice Address - Country:US
Practice Address - Phone:708-447-3555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-27
Last Update Date:2016-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health