Organization Active NPI

VCG Washington LLC

  • Home Health Agency
  • Federal Way, WA
National Provider Identifier
1568142172
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VCG WASHINGTON LLC
Practice address
1010 S 336TH St Ste 100
Federal Way, WA 98003-7354
Phone
(903) 787-7609
NPI assigned
Jul 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Authorized official

Name
Chris Walker
Title
Chief Operating Officer
Phone
(214) 491-0041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1010 S 336TH St Ste 100
Federal Way, WA 98003-7354

Mailing address

8150 N Central Expy Ste 1800
Dallas, TX 75206-1883
Phone (903) 787-7609

Other identifiers 1

IdentifierTypeStateIssuer
HIS.FS.61108148OtherWASTATE OF WASHINGTON LICENSE

National Provider Directory

National Provider Directory

Locations

1010 S 336th St
Ste 100
Federal Way, WA 98003
Phone (206) 656-7330

NPI Registry JSON

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1568142172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 N CENTRAL EXPY STE 1800",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752061883",
            "telephone_number": "903-787-7609",
            "fax_number": "903-871-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S 336TH ST STE 100",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037354",
            "telephone_number": "903-787-7609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VCG WASHINGTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "214-491-0041"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WASHINGTON LICENSE",
            "identifier": "HIS.FS.61108148",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.