Active NPI
Viclen, Inc.
- Durable Medical Equipment & Medical Supplies
- Lexington, KY
National Provider Identifier
1114951100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- MG0305
- Legal business name
- VICLEN, INC.
- Practice address
- 1794 Bryan Station Rd
Lexington, KY 40505-2133 - Phone
- (859) 253-6611
- Fax
- (859) 514-3506
- NPI assigned
- Jul 10, 2006
- 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
- Mrs. Vicki S. House
- Title
- President
- Phone
- (859) 253-6611
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | MG0305 | KY | Primary |
Addresses
Primary practice location
1794 Bryan Station Rd
Lexington, KY 40505-2133
Mailing address
101 Venture CT
Lexington, KY 40511-2615
Phone (859) 253-6611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90116344 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
1820 Bryan Station Rd
Lexington, KY 40505
Phone (859) 253-6611
1794 Bryan Station Rd
Lexington, KY 40505
Phone (859) 253-6611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1446422400000",
"number": "1114951100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 VENTURE CT",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405112615",
"telephone_number": "859-253-6611",
"fax_number": "859-259-2346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1794 BRYAN STATION RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405052133",
"telephone_number": "859-253-6611",
"fax_number": "859-514-3506"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VICLEN, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-10",
"last_updated": "2015-11-02",
"status": "A",
"authorized_official_last_name": "HOUSE",
"authorized_official_first_name": "VICKI",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "859-253-6611",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "KY",
"license": "MG0305",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90116344",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.