Vidma Care Mission, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

VIDMA CARE MISSION, INC

Practice address

10446 200TH St
Saint Albans, NY 11412-1222

Phone

(404) 551-0549

Fax

(470) 231-1308

NPI assigned

Sep 5, 2024

Organization subpart

No

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

Authorized official

Name

David E Ughulu

Title

Executive Director

Phone

(404) 551-0549

Specialties & licenses 1

Addresses

Other names 1

• VIDMA CARE MISSION NY INC Former legal business name

Tax ID family

Vidma Care Mission Inc2 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.

• Vidma Care Mission, Inc

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • West Orange, NJ
  • NPI 1265247035
  NPD tax ID

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1700611175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10446 200TH ST",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114121222",
            "telephone_number": "404-551-0549",
            "fax_number": "470-231-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10446 200TH ST",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114121222",
            "telephone_number": "404-551-0549",
            "fax_number": "470-231-1308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3045 Whittier Way",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300400722",
            "country_code": "US",
            "telephone_number": "404-551-0549",
            "fax_number": "470-231-1308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "137 Evergreen Pl",
            "address_purpose": "LOCATION",
            "city": "East Orange",
            "state": "NJ",
            "postal_code": "070182005",
            "country_code": "US",
            "telephone_number": "404-551-0549",
            "fax_number": "470-231-1308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VIDMA CARE MISSION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "UGHULU",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "404-551-0549"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIDMA CARE MISSION NY INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Nadia Lemaine Valescot, LPN
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• Yvonnecris Smith Veal, M.D.
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• Sara Emmanuelle Vilier
• Vanessa Vincent
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• Sonia Evadne Walker-Adamson, D.O.

• Community/Behavioral Health Agency in Saint Albans, NY
• Providers in Saint Albans, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.