Provider Demographics
NPI:1063809564
Name:VILLAGE HOME HEALTH CARE SERVICES LLC
Entity type:Organization
Organization Name:VILLAGE HOME HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VERNA
Authorized Official - Middle Name:L
Authorized Official - Last Name:GOECKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-782-2137
Mailing Address - Street 1:146 N 3RD ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45176-1322
Mailing Address - Country:US
Mailing Address - Phone:513-724-3460
Mailing Address - Fax:
Practice Address - Street 1:146 N 3RD ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:OH
Practice Address - Zip Code:45176-1322
Practice Address - Country:US
Practice Address - Phone:513-724-3460
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-22
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2330302251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health