Active NPI
Vital Care of Rhode Island, Inc.
- Home Health Agency
- Lincoln, RI
National Provider Identifier
1215914015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HNC00296
- Legal business name
- VITAL CARE OF RHODE ISLAND, INC.
- Practice address
- 1525 Louisquisset Pike
Building a Suite 205
Lincoln, RI 02865-4503 - Phone
- (401) 726-7744
- Fax
- (401) 726-7774
- NPI assigned
- Dec 22, 2005
- 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
- Ms. Kim Marie Gilbert, OTR / L
- Title
- President / Administrator
- Phone
- (401) 726-7744
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HNC00296 | RI | Primary |
Addresses
Primary practice location
1525 Louisquisset Pike
Building a Suite 205
Lincoln, RI 02865-4503
Mailing address
1525 Louisquisset Pike
Building a Suite 205
Lincoln, RI 02865-4503
Phone (401) 726-7744
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5869-0 | Other | RI | BCBS OF RI |
| 1022615 | Other | RI | UNITED HEALTH CARE OF NE |
| VC51541 | Medicaid | RI | |
| VC53434 | Medicaid | RI | |
| 30263 | Other | RI | NHPRI |
| 411764 | Other | RI | BLUE CHIP COORDINATED PAR |
National Provider Directory
National Provider Directory- Tax ID family
- Brookdale Therapy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Nurse On Call
- Home Health Agency
- Lincoln, RI
- NPI 1578839361
-
dba Brookdale Therapy
- Physical Therapist
- Tiverton, RI
- NPI 1962140772
Locations
1525 Old Louisquisset Pike
Ste A205
Lincoln, RI 02865
Phone (401) 726-7744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1215914015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 LOUISQUISSET PIKE",
"address_2": "BUILDING A SUITE 205",
"city": "LINCOLN",
"state": "RI",
"postal_code": "028654503",
"telephone_number": "401-726-7744",
"fax_number": "401-726-7774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 LOUISQUISSET PIKE",
"address_2": "BUILDING A SUITE 205",
"city": "LINCOLN",
"state": "RI",
"postal_code": "028654503",
"telephone_number": "401-726-7744",
"fax_number": "401-726-7774"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITAL CARE OF RHODE ISLAND, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GILBERT",
"authorized_official_first_name": "KIM",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PRESIDENT / ADMINISTRATOR",
"authorized_official_telephone_number": "401-726-7744",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "OTR / L"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "RI",
"license": "HNC00296",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF RI",
"identifier": "5869-0",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE OF NE",
"identifier": "1022615",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "VC51541",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "VC53434",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHPRI",
"identifier": "30263",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP COORDINATED PAR",
"identifier": "411764",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, RI
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.