Organization Active NPI

Vab Senior Limited Dividend Housing Association LLC

  • In Home Supportive Care Agency
  • Pontiac, MI
National Provider Identifier
1770291809
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Nov 8, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3867OtherMIINDEPENDENT LIVING FACILITY

Other names 1

  • Village at Bloomfield Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.