Vail Valley in-Home Healthcare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

VAIL VALLEY IN-HOME HEALTHCARE LLC

Practice address

301 W. Main Street, Suite 205
Frisco, CO 80443

Phone

(857) 272-2801

NPI assigned

May 13, 2021

Organization subpart

No

Name

Douglas Lance Campbell, MPH

Title

President and Owner

Phone

(857) 272-2801

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 13, 2021.

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1003480286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HOMESTEAD DR UNIT 25",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816328209",
            "telephone_number": "857-272-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W. MAIN STREET, SUITE 205",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "80443",
            "telephone_number": "857-272-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAIL VALLEY IN-HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "LANCE",
        "authorized_official_title_or_position": "PRESIDENT AND OWNER",
        "authorized_official_telephone_number": "857-272-2801",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.