NPIMap

Organization Active NPI

Vince Martin LLC

  • Respite Care
  • Stafford, VA
National Provider Identifier
1063945889
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
VINCE MARTIN LLC
Practice address
108 Bridgewood CT Unit B
Stafford, VA 22554-7741
Phone
(540) 699-7225
NPI assigned
Apr 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Authorized official

Name
Vincent Anthony Martin Jr., CNA
Title
Home Health Aide Personal Care
Phone
(540) 699-7225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

Primary practice location

108 Bridgewood CT Unit B
Stafford, VA 22554-7741

Mailing address

108 Bridgewood CT Unit B
Stafford, VA 22554-7741

National Provider Directory

National Provider Directory
Tax ID family
Spartanburg Regional72 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 2

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1063945889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 BRIDGEWOOD CT UNIT B",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 BRIDGEWOOD CT UNIT B",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547741",
            "telephone_number": "540-699-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCE MARTIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-07",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "HOME HEALTH AIDE PERSONAL CARE",
        "authorized_official_telephone_number": "540-699-7225",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.