Provider Demographics
NPI:1528745494
Name:VIANA HEALTHCARE SERVICES INC
Entity type:Organization
Organization Name:VIANA HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MIRBLE
Authorized Official - Middle Name:A
Authorized Official - Last Name:FORETIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-822-2004
Mailing Address - Street 1:6918 VANCOUVER RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22152-3348
Mailing Address - Country:US
Mailing Address - Phone:404-822-2004
Mailing Address - Fax:855-677-5702
Practice Address - Street 1:6918 VANCOUVER RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22152-3348
Practice Address - Country:US
Practice Address - Phone:404-822-2004
Practice Address - Fax:855-677-5702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-30
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care