Organization Active NPI

Vic Homecare, LLC

  • In Home Supportive Care Agency
  • Dorchester, MA
National Provider Identifier
1194198291
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Nov 20, 2015

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.