Vancleef Personal Care Homes LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

VANCLEEF PERSONAL CARE HOMES LLC

Practice address

1060 E County Line Rd Ste 3a-328
Ridgeland, MS 39157-1900

Phone

(773) 441-1910

Fax

(414) 386-7918

NPI assigned

Jul 24, 2019

Last updated

Jul 24, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jermaine Young

Title

Ceo

Phone

(773) 441-1910

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1609420090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 E COUNTY LINE RD STE 3A-328",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571900",
            "telephone_number": "773-441-1910",
            "fax_number": "414-386-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 E COUNTY LINE RD STE 3A-328",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571900",
            "telephone_number": "773-441-1910",
            "fax_number": "414-386-7918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCLEEF PERSONAL CARE HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JERMAINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-441-1910"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Utilization Management
• Jessica Weiss Utley, PHD
• Georgia Van Leijsen
• Morgan Elizabeth Van Nortwick, COTA
• Nhan Van, PHARMD
• Ann Beth Bailey Vanderloo, ST
• Paul D Vanlandingham, M.D.
• Lana Denise Varnado, COTA-L
• Dylan Varner
• Jason William Vassar, D.M.D.

• Home Health Agency in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Home Health Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.