Organization Active NPI

Vip Homecare Agency LLC

  • Home Health Agency
  • Cincinnati, OH
National Provider Identifier
1225774615
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VIP HOMECARE AGENCY LLC
Practice address
1821 Summit Rd Ste 103
Cincinnati, OH 45237-2818
Phone
(513) 441-8005
NPI assigned
May 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Authorized official

Name
Shantay Douglas
Title
Ceo
Phone
(513) 441-8005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1821 Summit Rd Ste 103
Cincinnati, OH 45237-2818

Mailing address

5115 Vine St # 16150
Cincinnati, OH 45217-7500
Phone (513) 441-8005

National Provider Directory

National Provider Directory

Locations

1821 Summit Rd
Ste 103
Cincinnati, OH 45237
Phone (513) 441-8005

NPI Registry JSON

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652054400000",
    "number": "1225774615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 VINE ST # 16150",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452177500",
            "telephone_number": "513-441-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 SUMMIT RD STE 103",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452372818",
            "telephone_number": "513-441-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP HOMECARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "SHANTAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-441-8005"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.