Active NPI
Vic Homecare, LLC
- In Home Supportive Care Agency
- Dorchester, MA
National Provider Identifier
1194198291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- VIC HOMECARE, LLC
- Practice address
- 1370 Dorchester Ave
Suite 22B
Dorchester, MA 02122-2921 - Phone
- (678) 575-1258
- NPI assigned
- Nov 11, 2015
- 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
- Van Tran
- Title
- President
- Phone
- (678) 575-1258
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
1370 Dorchester Ave
Suite 22B
Dorchester, MA 02122-2921
Mailing address
1370 Dorchester Ave
Suite 22B
Dorchester, MA 02122-2921
National Provider Directory
National Provider DirectoryLocations
1370 Dorchester Ave
Ste 22B
Dorchester, MA 02122
Phone (678) 575-1258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1447977600000",
"number": "1194198291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1370 DORCHESTER AVE",
"address_2": "SUITE 22B",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021222921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1370 DORCHESTER AVE",
"address_2": "SUITE 22B",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021222921",
"telephone_number": "678-575-1258"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIC HOMECARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-11",
"last_updated": "2015-11-20",
"status": "A",
"authorized_official_last_name": "TRAN",
"authorized_official_first_name": "VAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "678-575-1258"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.