Healthcare Provider Details

I. General information

NPI: 1568390706
Provider Name (Legal Business Name): VANCORP HOLDINGS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2026
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1741 OCOEE APOPKA RD STE 119
APOPKA FL
32703-9263
US

IV. Provider business mailing address

7862 W IRLO BRONSON MEMORIAL HWY UNIT 470
KISSIMMEE FL
34747-1738
US

V. Phone/Fax

Practice location:
  • Phone: 407-495-4344
  • Fax:
Mailing address:
  • Phone: 407-495-4344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL VAN DEGNA
Title or Position: VICE PRESIDENT
Credential:
Phone: 407-495-4344