Healthcare Provider Details

I. General information

NPI: 1992263008
Provider Name (Legal Business Name): VEBCOM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2019
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7161 DIXIE HWY
FAIRFIELD OH
45014-5542
US

IV. Provider business mailing address

7161 DIXIE HWY
FAIRFIELD OH
45014-5542
US

V. Phone/Fax

Practice location:
  • Phone: 513-216-5004
  • Fax: 513-401-9399
Mailing address:
  • Phone: 513-216-5004
  • Fax: 513-401-9399

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: MRS. VIDA ANITA BOAFO
Title or Position: CEO
Credential: RN, NP
Phone: 513-973-9240