Vanguard Healthcare Ancillary Services, LLC

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

Legal business name

VANGUARD HEALTHCARE ANCILLARY SERVICES, LLC

Practice address

6 Cadillac Dr
Suite 310
Brentwood, TN 37027-5080

Phone

(615) 250-7100

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Kirk F Hebert

Title

Managing Partner

Phone

(615) 250-7100

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Total Ancillary Services, LLC Former legal business name

Locations

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1417077058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CADILLAC DR",
            "address_2": "SUITE 310",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CADILLAC DR",
            "address_2": "SUITE 310",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275080",
            "telephone_number": "615-250-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANGUARD HEALTHCARE ANCILLARY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "HEBERT",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "615-250-7100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00440513",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1452939",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Ancillary Services, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Bryce Vallo, PHARMD
• Samantha Van Ert
• Peter T Van Hoven, O.D.
• David Martin Vanderpool, MD
• Valli Vaneron, M.S.
• Frank Daniel Vann, DO
• Jolinda Vanniekerk
• Leslie Paula Vanravenswaay, LMFC
• Juan Diego Vargas Reyes
• Allie Varnadoe

• Parenteral & Enteral Nutrition Supplies (DME) in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.