Vip Healthcare Professionals, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

VIP HEALTHCARE PROFESSIONALS, LLC

Practice address

2600 West Blvd
Colonial Square Office Park
Belleville, IL 62221-5605

Phone

(618) 235-2273

Fax

(618) 235-2417

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Veeda Lavon Martin

Title

Owner Ceo

Phone

(618) 235-2273

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1245300680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 WEST BLVD",
            "address_2": "COLONIAL SQUARE OFFICE PARK",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622215605",
            "telephone_number": "618-235-2273",
            "fax_number": "618-235-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 WEST BLVD",
            "address_2": "COLONIAL SQUARE OFFICE PARK",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622215605",
            "telephone_number": "618-235-2273",
            "fax_number": "618-235-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP HEALTHCARE PROFESSIONALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "VEEDA",
        "authorized_official_middle_name": "LAVON",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "618-235-2273",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Belleville, IL
• Providers in Belleville, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.