MEDICARE: VCR SENIOR 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	253Z00000X	In Home Supportive Care Agency	3000265	IL
2	253Z00000X	In Home Supportive Care Agency	3000266	IL

General Provider Information

NPI Number	:	1902118755
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VCR SENIOR CARE INC

Provider Business Mailing Address
First Line	:	319 WISCONSIN RD
Second Line	:
City	:	FRANKFORT
State	:	IL
Zip	:	60423-1143
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14475 JOHN HUMPHREY DR
Second Line	:	SUITE 330
City	:	ORLAND PARK
State	:	IL
Zip	:	60462-6205
Country	:	US
Telephone Number	:	708-349-4499
Fax Number	:	708-349-4447

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. VALERIE JEANNE SVENNINGSEN
Credential	:
Telephone Number	:	708-349-4499

Provider Enumeration Date	:	07/09/2010
Last Update Date	:	07/09/2010

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Directions to “VCR SENIOR CARE INC ” Practice Location

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