Provider Demographics
NPI:1992525703
Name:VETERAN SERVING VETERANS HOMECARE LLC
Entity type:Organization
Organization Name:VETERAN SERVING VETERANS HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DERRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:DARTEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-936-5027
Mailing Address - Street 1:120 COMMERCE WAY
Mailing Address - Street 2:# 637
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801
Mailing Address - Country:US
Mailing Address - Phone:404-936-5027
Mailing Address - Fax:
Practice Address - Street 1:120 COMMERCE WAY
Practice Address - Street 2:# 637
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801
Practice Address - Country:US
Practice Address - Phone:404-936-5027
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-15
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No385H00000XRespite Care FacilityRespite Care