MEDICARE: VETERAN HOME CARE LLC

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

General Provider Information

NPI Number	:	1598450777
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VETERAN HOME CARE LLC

Provider Business Mailing Address
First Line	:	PO BOX 66539
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87193-6539
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8632 FREDERICKSBURG RD STE 221
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-1266
Country	:	US
Telephone Number	:	726-232-8882
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	STEVE TRACY
Credential	:
Telephone Number	:	505-266-6683

Provider Enumeration Date	:	04/05/2023
Last Update Date	:	07/21/2025

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