Healthcare Provider Details

I. General information

NPI: 1710139126
Provider Name (Legal Business Name): R.V. HOME CARE., DBA VISITING ANGELS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2008
Last Update Date: 07/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 N. CASCADE ST
KENNEWICK WA
99336
US

IV. Provider business mailing address

15 N. CASCADE ST
KENNEWICK WA
99336
US

V. Phone/Fax

Practice location:
  • Phone: 509-582-7800
  • Fax: 509-582-7888
Mailing address:
  • Phone: 509-582-7800
  • Fax: 509-582-7888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberIHS.FS60563884
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. CHRISTINE L. ROSE-VANWORMER
Title or Position: OWNER
Credential:
Phone: 509-582-7800