Vintage Homecare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

VINTAGE HOMECARE LLC

Practice address

675 Townsend Ave Unit 187
New Haven, CT 06512-3184

Phone

(914) 523-6670

NPI assigned

Jun 30, 2020

Organization subpart

No

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

Authorized official

Name

Stephanie Dragon

Title

Owner

Phone

(475) 800-7457

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1649897299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 TOWNSEND AVE UNIT 187",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065123184",
            "telephone_number": "914-523-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 TOWNSEND AVE UNIT 187",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065123184",
            "telephone_number": "914-523-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINTAGE HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "DRAGON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "475-800-7457"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM",
            "identifier": "621986",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "none",
            "affiliation": "N",
            "endpointDescription": "send information via mail",
            "address_1": "675 Townsend Ave Unit 187",
            "city": "New Haven",
            "state": "CT",
            "country_code": "US",
            "postal_code": "065123184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daniel Vining, MD
• Eugenia M Vining, M.D.
• Anita Vinjirayer, M.B.B.S.,FCAI
• Jillian Alyssa Gelmetti Vino
• Jeffrey M Vinocur, MD
• Sarah Violette
• Chandra S Vipparla, RPH
• Michael Dean Virata, MD
• Vireo Billing LLC
• Emma Virgl, PA, MHS

• In Home Supportive Care Agency in New Haven, CT
• Providers in New Haven, CT by specialty
• In Home Supportive Care Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.