Organization Active NPI

Viclen, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Lexington, KY
National Provider Identifier
1114951100
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
MG0305 Issued in KY
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

Updated by the provider on Nov 2, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
90116344MedicaidKY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.