Vidma Care Mission, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

VIDMA CARE MISSION, INC

Doing business as

VIDMA CARE MISSION, INC

Practice address

9763 Audelia Rd Apt 5209
Dallas, TX 75238-2018

Phone

(404) 551-0549

NPI assigned

Mar 30, 2022

Organization subpart

No

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

Authorized official

Name

Dr. David Esezobor Ughulu

Title

President

Phone

(404) 551-0549

Specialties & licenses 1

Addresses

Other names 1

• VIDMA CARE MISSION, INC Doing business as

Electronic endpoints 2

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1104566876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9763 AUDELIA RD APT 5209",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752382018",
            "telephone_number": "404-551-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9763 AUDELIA RD APT 5209",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752382018",
            "telephone_number": "404-551-0549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDMA CARE MISSION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "UGHULU",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ESEZOBOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-551-0549",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Dallas",
            "affiliation": "N",
            "address_1": "9763 Audelia Rd Apt 5209",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752382018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.vidmacaremission.org",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Dallas",
            "address_1": "9763 Audelia Rd Apt 5209",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752382018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "VIDMA CARE MISSION, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vida Plena LLC
• Alexander Vidal
• Lytorre Denise Vidaurri, MD
• Lisa Thompson Videau, FNP
• Smitha Rao Vidi, M.D.
• Katarina Vidovic
• Vidya Nandipati, MD, PA
• Blair Viehe
• Ingrid Dawn Vieira, CRNA
• Margarita Viel, MS CCC-SLP

• Home Health Agency in Dallas, TX
• Providers in Dallas, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.