Organization Active NPI

Vintage Healthcare Services, LLC

  • Home Health Agency
  • Friendswood, TX
National Provider Identifier
1053622837
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VINTAGE HEALTHCARE SERVICES, LLC
Practice address
4703 Lunsford Hollow LN
Friendswood, TX 77546-2514
Phone
(713) 366-1271
NPI assigned
Jun 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jide Adio
Title
President
Phone
(713) 366-1271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4703 Lunsford Hollow LN
Friendswood, TX 77546-2514

Mailing address

4703 Lunsford Hollow LN
Friendswood, TX 77546-2514

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1053622837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4703 LUNSFORD HOLLOW LN",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775462514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4703 LUNSFORD HOLLOW LN",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775462514",
            "telephone_number": "713-366-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINTAGE HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-28",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "ADIO",
        "authorized_official_first_name": "JIDE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-366-1271",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendswood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.