MEDICARE: VOLUNTEERS OF AMERICA HOME HEALTH SERVICES

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	:	1336164904
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VOLUNTEERS OF AMERICA HOME HEALTH SERVICES

Provider Business Mailing Address
First Line	:	7485 OFFICE RIDGE CIR
Second Line	:
City	:	EDEN PRAIRIE
State	:	MN
Zip	:	55344-3690
Country	:	US
Telephone Number	:	952-941-0305
Fax Number	:	952-941-0428

Provider Business Practice Location Address
First Line	:	1900 BALLINGTON BLVD NW
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55901-2274
Country	:	US
Telephone Number	:	507-288-2884
Fax Number	:

Authorized Official
Title or Position	:	ASSISTANT SECRETARY/TREASURER
Name	:	NANCY GAVIN
Credential	:
Telephone Number	:	952-941-0305

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	02/05/2021

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