Organization Active NPI

Viphealth Services LLC

  • Assisted Living Facility
  • San Bernardino, CA
National Provider Identifier
1457117442
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
VIPHEALTH SERVICES LLC
Practice address
1167 Shady Creek Dr
San Bernardino, CA 92407-4201
Phone
(909) 728-0161
NPI assigned
Feb 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Authorized official

Name
Prince Sasis
Title
Ceo
Phone
(909) 728-0161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1167 Shady Creek Dr
San Bernardino, CA 92407-4201

Mailing address

1167 Shady Creek Dr
San Bernardino, CA 92407-4201
Phone (909) 728-0161

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1457117442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1167 SHADY CREEK DR",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924074201",
            "telephone_number": "909-728-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1167 SHADY CREEK DR",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924074201",
            "telephone_number": "909-728-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIPHEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "SASIS",
        "authorized_official_first_name": "PRINCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-728-0161"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.