Organization Active NPI

Vine Homecare

  • Home Health Agency
  • Danvers, MA
National Provider Identifier
1629505730
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VINE HOMECARE
Practice address
153 Andover St Ste 104
Danvers, MA 01923-1455
Phone
(978) 532-5592
Fax
(978) 539-8419
NPI assigned
May 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Emmanuel Ejiofor
Title
Executive Director
Phone
(978) 532-5592

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

153 Andover St Ste 104
Danvers, MA 01923-1455

Mailing address

153 Andover St Ste 104
Danvers, MA 01923-1455
Phone (978) 532-5592

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1629505730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 ANDOVER ST STE 104",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231455",
            "telephone_number": "978-532-5592",
            "fax_number": "978-539-8419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 ANDOVER ST STE 104",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231455",
            "telephone_number": "978-532-5592",
            "fax_number": "978-539-8419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINE HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "EJIOFOR",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "978-532-5592",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.