NPIMap

Organization Active NPI

Vna Privatecare, Inc.

Doing business as TIP PremierCare

  • Nursing Care Agency
  • Bridgeton, MO
National Provider Identifier
1124168109
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
VNA PRIVATECARE, INC.
Doing business as
TIP PremierCare
Practice address
3445 Bridgeland Dr
Ste 121
Bridgeton, MO 63044-2621
Phone
(618) 467-3559
NPI assigned
Feb 7, 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
Susan Chandarlis, CPA
Title
Cfo
Phone
(618) 467-3559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

3445 Bridgeland Dr
Ste 121
Bridgeton, MO 63044-2621

Mailing address

200 N Center Dr
Alton, IL 62002-5946
Phone (618) 467-3559

Other names 1

  • TIP PremierCare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Vna Privatecare Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3445 Bridgeland Dr
Ste 121
Bridgeton, MO 63044

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124168109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N CENTER DR",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025946",
            "telephone_number": "618-467-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 BRIDGELAND DR",
            "address_2": "STE 121",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442621",
            "telephone_number": "618-467-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VNA PRIVATECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHANDARLIS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "618-467-3559",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TIP PremierCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgeton, MO

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.