Organization Active NPI

Vip Unlimited Care LLC

  • In Home Supportive Care Agency
  • Fairdale, KY
National Provider Identifier
1639056971
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
VIP UNLIMITED CARE LLC
Practice address
429 Babe Dr
Fairdale, KY 40118-9029
Phone
(707) 509-9256
NPI assigned
Aug 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Authorized official

Name
Wamugunga Faustin
Title
Owner/President
Phone
(707) 509-9256

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

429 Babe Dr
Fairdale, KY 40118-9029

Mailing address

404 Ivy Ridge Rd Apt 12
Syracuse, NY 13210-4161

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1755561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755561600000",
    "number": "1639056971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 IVY RIDGE RD APT 12",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132104161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 BABE DR",
            "city": "FAIRDALE",
            "state": "KY",
            "postal_code": "401189029",
            "telephone_number": "707-509-9256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP UNLIMITED CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-19",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A",
        "authorized_official_last_name": "FAUSTIN",
        "authorized_official_first_name": "WAMUGUNGA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "707-509-9256"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairdale, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.