NPIMap

Organization Active NPI

Vascular Care International, Inc.

  • Durable Medical Equipment & Medical Supplies
  • East Liberty, OH
National Provider Identifier
1396868998
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
VASCULAR CARE INTERNATIONAL, INC.
Practice address
12966 County Road 153
East Liberty, OH 43319-9431
Phone
(937) 642-4100
Fax
(937) 642-4104
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Cassandre J Miller
Title
President
Phone
(937) 642-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X OH Primary

Addresses

Primary practice location

12966 County Road 153
East Liberty, OH 43319-9431

Mailing address

12966 County Road 153
East Liberty, OH 43319-9431
Phone (937) 642-4100

Other identifiers 10

IdentifierTypeStateIssuer
0553579000OtherKEYSTONE
244562OtherKAISER PERMANENTE
117263OtherAMERICAID
294349OtherAMERIGROUP
5319603OtherAETNA HEALTHCARE
76379MDIOtherMDIPA
A1309454OtherOXFORD HEALTHCARE
703985OtherHARVARD PILGRIM
000000375906OtherBCBS
N46792OtherHEALTHNET PHS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396868998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12966 COUNTY ROAD 153",
            "city": "EAST LIBERTY",
            "state": "OH",
            "postal_code": "433199431",
            "telephone_number": "937-642-4100",
            "fax_number": "937-642-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12966 COUNTY ROAD 153",
            "city": "EAST LIBERTY",
            "state": "OH",
            "postal_code": "433199431",
            "telephone_number": "937-642-4100",
            "fax_number": "937-642-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR CARE INTERNATIONAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CASSANDRE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-642-4100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0553579000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER PERMANENTE",
            "identifier": "244562",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAID",
            "identifier": "117263",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "294349",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTHCARE",
            "identifier": "5319603",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA",
            "identifier": "76379MDI",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTHCARE",
            "identifier": "A1309454",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "703985",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000375906",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET PHS",
            "identifier": "N46792",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Liberty, OH

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.

Verify at the official NPI Registry.