MEDICARE: VICRO HOME CARE, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency		MN

General Provider Information

NPI Number	:	1124183876
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VICRO HOME CARE, INC

Provider Business Mailing Address
First Line	:	13524 HILLSBORO AVE
Second Line	:
City	:	SAVAGE
State	:	MN
Zip	:	55378-2104
Country	:	US
Telephone Number	:	612-799-3591
Fax Number	:	952-380-1371

Provider Business Practice Location Address
First Line	:	13524 HILLSBORO AVE
Second Line	:
City	:	SAVAGE
State	:	MN
Zip	:	55378-2104
Country	:	US
Telephone Number	:	612-799-3591
Fax Number	:	952-380-1371

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	LANA BARSKIY
Credential	:
Telephone Number	:	612-799-3591

Provider Enumeration Date	:	12/23/2006
Last Update Date	:	08/22/2020

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Directions to “VICRO HOME CARE, INC ” Practice Location

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