Organization Active NPI

Universal Vibrant Care LLC

  • In Home Supportive Care Agency
  • Alexandria, VA
National Provider Identifier
1760235261
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
UNIVERSAL VIBRANT CARE LLC
Practice address
5680 King Centre Dr Ste 676
Alexandria, VA 22315-5757
Phone
(703) 402-0395
NPI assigned
Apr 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
Toritseju Edema-Sillo
Title
Program Director
Phone
(347) 987-8822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

5680 King Centre Dr Ste 676
Alexandria, VA 22315-5757

Mailing address

64 Begonia St
Angier, NC 27501-6291
Phone (347) 987-8822

National Provider Directory

National Provider Directory

Locations

5680 King Centre Dr
Ste 676
Alexandria, VA 22315
Phone (703) 402-0395

NPI Registry JSON

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1760235261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 BEGONIA ST",
            "city": "ANGIER",
            "state": "NC",
            "postal_code": "275016291",
            "telephone_number": "347-987-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5680 KING CENTRE DR STE 676",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223155757",
            "telephone_number": "703-402-0395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL VIBRANT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-06",
        "status": "A",
        "authorized_official_last_name": "EDEMA-SILLO",
        "authorized_official_first_name": "TORITSEJU",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "347-987-8822"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.