Healthcare Provider Details

I. General information

NPI: 1609199793
Provider Name (Legal Business Name): VCA CARE SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2010
Last Update Date: 11/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

908 22ND ST
HONDO TX
78861-2945
US

IV. Provider business mailing address

908 22ND ST
HONDO TX
78861-2945
US

V. Phone/Fax

Practice location:
  • Phone: 830-584-2016
  • Fax: 830-584-2018
Mailing address:
  • Phone: 830-584-2016
  • Fax: 830-584-2018

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 Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. VICTOR CHIKEZIE ADIKAIBE
Title or Position: ADMINISTRATOR
Credential: MSN RN
Phone: 281-841-5022