MEDICARE: VMT HOME HEALTH AGENCY

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235297961
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VMT HOME HEALTH AGENCY

Provider Business Mailing Address
First Line	:	4201 CONNECTICUT AVE NW
Second Line	:	SUITE 200
City	:	WASHINGTON
State	:	DC
Zip	:	20008-1158
Country	:	US
Telephone Number	:	202-282-3104
Fax Number	:	202-282-3109

Provider Business Practice Location Address
First Line	:	4201 CONNECTICUT AVE NW
Second Line	:	SUITE 200
City	:	WASHINGTON
State	:	DC
Zip	:	20008-1158
Country	:	US
Telephone Number	:	202-282-3104
Fax Number	:	202-282-3109

Authorized Official
Title or Position	:	EXECUTIVE VICE PRESIDENT
Name	:	KEVIN ARCHER
Credential	:	M.B.A.
Telephone Number	:	202-282-3104

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	06/18/2008

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Directions to “VMT HOME HEALTH AGENCY ” Practice Location

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