Healthcare Provider Details

I. General information

NPI: 1659337715
Provider Name (Legal Business Name): VISITING NURSES HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8001 ANGLING RD
PORTAGE MI
49024-7422
US

IV. Provider business mailing address

8001 ANGLING RD
PORTAGE MI
49024-7422
US

V. Phone/Fax

Practice location:
  • Phone: 269-323-2325
  • Fax: 269-323-7583
Mailing address:
  • Phone: 269-323-2325
  • Fax: 269-323-7583

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. JILL A ELDRED
Title or Position: PRESIDENT
Credential: RN, BSN, MPA
Phone: 269-323-2325