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NPI Code Detail

MEDICARE: VOLUNTEERS OF AMERICA CARE FACILITIES

MEDICARE: VOLUNTEERS OF AMERICA CARE FACILITIES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility6085OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000280813OTHEROHANTHEM
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558382903
Entity Type Code : Organization
Provider Name (Legal Business Name) : VOLUNTEERS OF AMERICA CARE FACILITIES
Provider Business Mailing Address
First Line : 7485 OFFICE RIDGE CIR
Second Line :
City : EDEN PRAIRIE
State : MN
Zip : 55344-3690
Country : US
Telephone Number : 952-941-0305
Fax Number : 952-941-0428
Provider Business Practice Location Address
First Line : 2425 KIMBERLY PKWY E
Second Line :
City : COLUMBUS
State : OH
Zip : 43232-4271
Country : US
Telephone Number : 614-868-9306
Fax Number : 614-868-1974
Authorized Official
Title or Position : ASSISTANT SECRETARY/TREASURER
Name : NANCY GAVIN
Credential :
Telephone Number : 952-941-0305
Provider Enumeration Date : 07/21/2006
Last Update Date : 02/05/2021

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