Healthcare Provider Details

I. General information

NPI: 1548157886
Provider Name (Legal Business Name): VETRN HOME HEALTH AND TRANSPORTATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2025
Last Update Date: 06/23/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2653 W ALEXIS RD
TOLEDO OH
43613-2017
US

IV. Provider business mailing address

2653 W ALEXIS RD
TOLEDO OH
43613-2017
US

V. Phone/Fax

Practice location:
  • Phone: 419-917-7167
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. ERIC HENDERSON
Title or Position: OWNER
Credential:
Phone: 419-917-7167