Healthcare Provider Details

I. General information

NPI: 1407792666
Provider Name (Legal Business Name): VT IN-HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 BLUE RIDGE RD STE 102
RALEIGH NC
27612-4650
US

IV. Provider business mailing address

4000 BLUE RIDGE RD STE 100
RALEIGH NC
27612-4650
US

V. Phone/Fax

Practice location:
  • Phone: 919-874-5500
  • Fax: 919-874-5501
Mailing address:
  • Phone: 919-874-5500
  • Fax: 919-874-5501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SCHAEFER PATRICK ONEILL
Title or Position: TREASURER
Credential:
Phone: 919-740-6923