Active NPI
Vip Home Care LLC
- Home Health Agency
- Moreno Valley, CA
National Provider Identifier
1073736757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 200633310002
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.