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	HC2205	NC

General Provider Information

NPI Number	:	1366985962
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	:	2741 CAMPUS WALK AVE
Second Line	:	BUILDING 400, SUITE 200
City	:	DURHAM
State	:	NC
Zip	:	27705-8878
Country	:	US
Telephone Number	:	919-973-4617
Fax Number	:	919-908-1389

Authorized Official
Title or Position	:	ASSISTANT SECRETARY
Name	:	NANCY GAVIN
Credential	:
Telephone Number	:	952-983-4249

Provider Enumeration Date	:	11/30/2016
Last Update Date	:	02/05/2021

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