Vaughn Medical LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

VAUGHN MEDICAL LLC

Practice address

4405 Fortune LN
Beaumont, TX 77705-4831

Phone

(409) 782-8940

NPI assigned

Sep 12, 2013

Last updated

Sep 12, 2013By 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

David Vaughn

Title

Ceo

Phone

(499) 782-8940

Specialties & licenses 1

Addresses

Tax ID family

Vaughn Medical3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Vaughn Medical Equipment & Repair Services

  dba Vaughn Medical

  • Customized Equipment (DME)
  • Houston, TX
  • NPI 1306193594
  NPD tax ID
• Vaughn Medical Equipment Repair Service LLC

  • Durable Medical Equipment & Medical Supplies
  • Beaumont, TX
  • NPI 1457573909
  NPD tax ID

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1669807327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 FORTUNE LN",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777054831",
            "telephone_number": "409-782-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 FORTUNE LN",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777054831",
            "telephone_number": "409-782-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAUGHN MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "499-782-8940"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Vandevender, PA
• Kinnedy Rayne Vandevender, LPC
• Timmie Erin Vardell, BCBA
• Stephanie Renee Vaughan, LPC
• Vaughn Medical Equipment Repair Service LLC
• Gary Edward Vaughn, MD
• Laura Ruth Vaughn, LBSW,MA
• Alisa Vaysfligel, PT, DPT
• Callie Vega
• Patricia Velasco, LCDC

• In Home Supportive Care Agency in Beaumont, TX
• Providers in Beaumont, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.