Vinculum Care LLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

VINCULUM CARE LLC

Practice address

5316 Lakeshore Rd
Fort Gratiot, MI 48059-3118

Phone

(810) 357-8792

NPI assigned

Jun 22, 2023

Last updated

Nov 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Elia Ejaz Hussain

Title

President

Phone

(810) 357-8792

Specialties & licenses 10

Addresses

Other identifiers 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Syeda Shumi Ferguson

  • Mental Health Counselor
  • Richmond, MI
  • NPI 1306538129
  NPD
• Jessica Lynn Heaney, NP-C

  • Family Nurse Practitioner
  • Port Huron, MI
  • NPI 1083193783

  Registered Nurse

  NPD
• Gloria L Moore, FNP

  • Family Nurse Practitioner
  • Southfield, MI
  • NPI 1073235859

  Mental Health

  NPD

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1144906538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5316 LAKESHORE RD",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480593118",
            "telephone_number": "810-357-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5316 LAKESHORE RD",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480593118",
            "telephone_number": "810-357-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCULUM CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "ELIA",
        "authorized_official_middle_name": "EJAZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-357-8792",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP",
            "identifier": "1083193783",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca L Vargo
• Elizabeth A Varty, LPC
• Dayna Vasbinder, MALPC
• Susan Ann Viaene
• Amy Elizabeth Vilas, P.A.-C
• Vinculum Care LLC
• Visiting Nurse Services of Michigan
• Katherine Mae Volpe
• Megan Elizabeth Voydanoff
• Vpa PC

• Registered Nurse in Fort Gratiot, MI
• Providers in Fort Gratiot, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.