Vicksburg Family Home Care,LLC

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

VICKSBURG FAMILY HOME CARE,LLC

Practice address

706 W Prairie St
Vicksburg, MI 49097-1041

Phone

(269) 762-2092

Fax

(269) 315-5100

NPI assigned

Apr 11, 2024

Last updated

Apr 11, 2024By 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

Mr. Terry Lynn Barnes Jr.

Title

Chief Executive Officer

Phone

(269) 762-2092

Specialties & licenses 3

Addresses

Tax ID family

Vicksburg Family Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Vicksburg Family Home Care,LLC

  • In Home Supportive Care Agency
  • Vicksburg, MI
  • NPI 1396215984
  NPD tax ID

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1649023235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 W PRAIRIE ST",
            "city": "VICKSBURG",
            "state": "MI",
            "postal_code": "490971041",
            "telephone_number": "269-762-2092",
            "fax_number": "269-315-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 W PRAIRIE ST",
            "city": "VICKSBURG",
            "state": "MI",
            "postal_code": "490971041",
            "telephone_number": "269-762-2092",
            "fax_number": "269-315-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKSBURG FAMILY HOME CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "269-762-2092",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Total Body Wellness
• Joan Uhley, OTR
• Shelby Elizabeth Vanderkamp, DC
• Lindsey Vesey
• Vicksburg Family Home Care,LLC
• Vicksburg Home Care
• Rebecca Ann Waurio, FNP-C
• Katherina Mary Weiss
• Brittney Nan Young, M ED, MA, LLPC

• Respite Care in Vicksburg, MI
• Providers in Vicksburg, MI by specialty
• Respite Care in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.