Provider Demographics
NPI:1528533049
Name:VETERANS HOME CARE, LLC
Entity type:Organization
Organization Name:VETERANS HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:LAIDERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-514-2444
Mailing Address - Street 1:11861 WESTLINE INDUSTRIAL DRIVE
Mailing Address - Street 2:SUITE 750
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63146
Mailing Address - Country:US
Mailing Address - Phone:314-514-2444
Mailing Address - Fax:800-640-7988
Practice Address - Street 1:11861 WESTLINE INDUSTRIAL DRIVE
Practice Address - Street 2:SUITE 750
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63146
Practice Address - Country:US
Practice Address - Phone:314-514-2444
Practice Address - Fax:800-640-7988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-11
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty
No332S00000XSuppliersHearing Aid Equipment
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty