Individual provider Active NPI

Vincent Thompson Jr.

  • Homemaker
  • Dallas, TX
National Provider Identifier
1750082699
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
License
019616 Issued in TX
Practice address
2775 Villa Creek Dr Ste 219
Dallas, TX 75234-7613
Phone
(972) 454-1938
NPI assigned
Mar 16, 2023
Last updated
Mar 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X 019616 TX Primary

Addresses

Primary practice location

2775 Villa Creek Dr Ste 219
Dallas, TX 75234-7613

Mailing address

2775 Villa Creek Dr Ste 219
Dallas, TX 75234-7613
Phone (972) 454-1938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019616TXMDHomemaker

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Shield Home Care, LLC CurrentSince Mar 19, 2023 Accepting new patients

Locations

2775 Villa Creek Dr
Ste 219
Dallas, TX 75234
Phone (972) 454-1938

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1750082699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 VILLA CREEK DR STE 219",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347613",
            "telephone_number": "972-454-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 VILLA CREEK DR STE 219",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347613",
            "telephone_number": "972-454-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "VINCENT",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "TX",
            "license": "019616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.