NPIMap

Organization Active NPI

Viemed Clinical Services, LLC

  • Clinical Social Worker
  • Shelbyville, KY
National Provider Identifier
1629796693
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
VIEMED CLINICAL SERVICES, LLC
Practice address
533 Navaho Rd
Shelbyville, KY 40065-1981
Phone
(833) 452-0220
Fax
(800) 398-9547
NPI assigned
Aug 16, 2022
Last updated
Aug 16, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
VIEMED, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Authorized official

Name
Ryan Sullivan
Title
Exec VP
Phone
(337) 504-3802

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary
In Home Supportive Care Agency 253Z00000X NU
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

533 Navaho Rd
Shelbyville, KY 40065-1981

Mailing address

625 E Kaliste Saloom Rd Ste 400-N
Lafayette, LA 70508-2540
Phone (833) 452-0220

National Provider Directory

National Provider Directory
Tax ID family
Viemed Clinical Services LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1629796693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E KALISTE SALOOM RD STE 400-N",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705082540",
            "telephone_number": "833-452-0220",
            "fax_number": "800-398-9547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 NAVAHO RD",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400651981",
            "telephone_number": "833-452-0220",
            "fax_number": "800-398-9547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIEMED CLINICAL SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIEMED, INC.",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "EXEC VP",
        "authorized_official_telephone_number": "337-504-3802"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.