Organization Active NPI

Vaughan Sip

  • In Home Supportive Care Agency
  • Marlette, MI
National Provider Identifier
1306589486
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
VAUGHAN SIP
Practice address
3216 Fenner St
Marlette, MI 48453-1229
Phone
(989) 551-3231
NPI assigned
Apr 18, 2022
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Diane Vaughan
Title
Owner
Phone
(989) 551-3231

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

3216 Fenner St
Marlette, MI 48453-1229

Mailing address

3216 Fenner St
Marlette, MI 48453-1229

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 18, 2022.

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650240000000",
    "number": "1306589486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 FENNER ST",
            "city": "MARLETTE",
            "state": "MI",
            "postal_code": "484531229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3216 FENNER ST",
            "city": "MARLETTE",
            "state": "MI",
            "postal_code": "484531229",
            "telephone_number": "989-551-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAUGHAN SIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-551-3231"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.