Healthcare Provider Details

I. General information

NPI: 1700638715
Provider Name (Legal Business Name): VERMAIL PRICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2024
Last Update Date: 04/05/2024
Certification Date: 04/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1243 N RENSSELAER CT
GRIFFITH IN
46319-1654
US

IV. Provider business mailing address

1243 N RENSSELAER CT
GRIFFITH IN
46319-1654
US

V. Phone/Fax

Practice location:
  • Phone: 708-228-9450
  • Fax:
Mailing address:
  • Phone: 708-228-9450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: VERMAIL PRICE
Title or Position: REGISTERED NURSE/DIRECTOR, OWNER
Credential: RN
Phone: 708-228-9450