Organization Active NPI

Vip Home Care LLC

  • Home Health Agency
  • Moreno Valley, CA
National Provider Identifier
1073736757
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
200633310002 Issued in CA
Legal business name
VIP HOME CARE LLC
Practice address
25920 Iris Ave
Ste 13a-267
Moreno Valley, CA 92551-1658
Phone
(888) 847-0171
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Viola Mitchell
Title
Manager
Phone
(888) 847-0171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 200633310002 CA Primary

Addresses

Primary practice location

25920 Iris Ave
Ste 13a-267
Moreno Valley, CA 92551-1658

Mailing address

25920 Iris Ave
Ste 13a-267
Moreno Valley, CA 92551-1658
Phone (888) 847-0171

National Provider Directory

National Provider Directory

Locations

25920 Iris Ave
Ste 13A267
Moreno Valley, CA 92551
Phone (888) 847-0171

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073736757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25920 IRIS AVE",
            "address_2": "STE 13A-267",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925511658",
            "telephone_number": "888-847-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25920 IRIS AVE",
            "address_2": "STE 13A-267",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925511658",
            "telephone_number": "888-847-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "VIOLA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "888-847-0171",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "200633310002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.