Active NPI
Vinculum Care Foundation
- Social Worker
- Port Huron, MI
National Provider Identifier
1699620773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Legal business name
- VINCULUM CARE FOUNDATION
- Practice address
- 1530 Pine Grove Ave
Port Huron, MI 48060-3370 - Phone
- (810) 357-8792
- Fax
- (810) 512-7725
- NPI assigned
- Mar 3, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elia Ejaz Hussain
- Title
- Ceo
- Phone
- (810) 357-8792
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary | ||
| Case Management Registered Nurse | 163WC0400X | |||
| Home Health Agency | 251E00000X | |||
| Nursing Care Agency | 251J00000X | |||
| Adult Day Care Clinic/Center | 261QA0600X | |||
| Rural Health Clinic/Center | 261QR1300X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
1530 Pine Grove Ave
Port Huron, MI 48060-3370
Mailing address
1530 Pine Grove Ave
Port Huron, MI 48060-3370
Phone (810) 357-8792
National Provider Directory
National Provider DirectoryLocations
1530 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 357-8792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772496000000",
"number": "1699620773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 PINE GROVE AVE",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480603370",
"telephone_number": "810-357-8792",
"fax_number": "810-512-7725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 PINE GROVE AVE",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480603370",
"telephone_number": "810-357-8792",
"fax_number": "810-512-7725"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VINCULUM CARE FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-03",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A",
"authorized_official_last_name": "HUSSAIN",
"authorized_official_first_name": "ELIA",
"authorized_official_middle_name": "EJAZ",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "810-357-8792"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "163WC0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Huron, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.