Healthcare Provider Details

I. General information

NPI: 1366985962
Provider Name (Legal Business Name): VOLUNTEERS OF AMERICA HOME HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2016
Last Update Date: 02/05/2021
Certification Date: 02/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2741 CAMPUS WALK AVE BUILDING 400, SUITE 200
DURHAM NC
27705-8878
US

IV. Provider business mailing address

7485 OFFICE RIDGE CIR
EDEN PRAIRIE MN
55344-3690
US

V. Phone/Fax

Practice location:
  • Phone: 919-973-4617
  • Fax: 919-908-1389
Mailing address:
  • Phone: 952-941-0305
  • Fax: 952-941-0428

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC2205
License Number StateNC

VIII. Authorized Official

Name: NANCY GAVIN
Title or Position: ASSISTANT SECRETARY
Credential:
Phone: 952-983-4249