Active NPI
Vab Senior Limited Dividend Housing Association LLC
- In Home Supportive Care Agency
- Pontiac, MI
National Provider Identifier
1770291809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- VAB SENIOR LIMITED DIVIDEND HOUSING ASSOCIATION LLC
- Doing business as
- Village at Bloomfield
- Practice address
- 1957 S. Telegraph Rd.
Pontiac, MI 48341 - Phone
- (248) 213-8403
- Fax
- (989) 885-5906
- NPI assigned
- Nov 8, 2022
- 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
- Lisa L Alexander
- Title
- Compliance Director
- Phone
- (248) 392-5521
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
1957 S. Telegraph Rd.
Pontiac, MI 48341
Mailing address
1957 S. Telegraph Rd.
Pontiac, MI 48341
Phone (248) 213-8403
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3867 | Other | MI | INDEPENDENT LIVING FACILITY |
Other names 1
- Village at Bloomfield
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667865600000",
"number": "1770291809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1957 S. TELEGRAPH RD.",
"city": "PONTIAC",
"state": "MI",
"postal_code": "48341",
"telephone_number": "248-213-8403",
"fax_number": "989-885-5906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1957 S. TELEGRAPH RD.",
"city": "PONTIAC",
"state": "MI",
"postal_code": "48341",
"telephone_number": "248-213-8403",
"fax_number": "989-885-5906"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VAB SENIOR LIMITED DIVIDEND HOUSING ASSOCIATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-08",
"last_updated": "2022-11-08",
"certification_date": "2022-11-04",
"status": "A",
"authorized_official_last_name": "ALEXANDER",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "COMPLIANCE DIRECTOR",
"authorized_official_telephone_number": "248-392-5521"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT LIVING FACILITY",
"identifier": "3867",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Village at Bloomfield",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.