Usrc VP Home, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

USRC VP HOME, LLC

Practice address

202 E North Ave
Villa Park, IL 60181-1221

Phone

(630) 415-3458

Fax

(630) 415-3463

NPI assigned

Oct 29, 2014

Organization subpart

Yes

Parent organization

U S RENAL CARE INCAs reported in NPPES

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

Authorized official

Name

Thomas L Weiberg

Title

Manager - Authorized Official

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Other names 1

• U S Renal Care VIlla Park Home Dialysis Program Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

US Renal Care Inc

Locations

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1649675950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19119",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724036601",
            "telephone_number": "870-931-5400",
            "fax_number": "870-931-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E NORTH AVE",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601811221",
            "telephone_number": "630-415-3458",
            "fax_number": "630-415-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC VP HOME, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U S RENAL CARE INC",
        "enumeration_date": "2014-10-29",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "WEIBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER - AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "214-736-2700"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U S Renal Care VIlla Park Home Dialysis Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Unitycare Health Ventures LLC
• Caitlyn Grace Unruh, OTD, OTR/L
• Carmen I Uribe Cardenas, DMD
• Kaitlyn Lee Urick, DPT
• Usrc Villa Park, LLC
• Violeta M Valadka, RPH
• Vantage Medical Solutions LLC
• Laura Nicole Vanzandt, OTR/L
• Lauren Vargo
• John Ralph Velk, R.PH.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Villa Park, IL
• Providers in Villa Park, IL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.