Organization Active NPI

Vantage Healthcare Services, Inc

  • Home Health Agency
  • Raleigh, NC
National Provider Identifier
1770500324
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC2225 Issued in NC
Legal business name
VANTAGE HEALTHCARE SERVICES, INC
Practice address
1129 Corporation Pkwy
Suite 141
Raleigh, NC 27610-1381
Phone
(919) 212-9998
Fax
(919) 859-8056
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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

Authorized official

Name
Mr. Chib Anen
Title
Manager
Phone
(919) 812-8677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC2225 NC Primary

Addresses

Primary practice location

1129 Corporation Pkwy
Suite 141
Raleigh, NC 27610-1381

Mailing address

117 W Camden Forest Dr
Cary, NC 27518-9047
Phone (919) 212-9998

Other identifiers 2

IdentifierTypeStateIssuer
3409463MedicaidNC
7704826MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Vantage Healrthcare Services 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.

Locations

1129 Corporation Pkwy
Ste 141
Raleigh, NC 27610
Phone (919) 212-9998

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1770500324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W CAMDEN FOREST DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275189047",
            "telephone_number": "919-212-9998",
            "fax_number": "919-859-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 CORPORATION PKWY",
            "address_2": "SUITE 141",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101381",
            "telephone_number": "919-212-9998",
            "fax_number": "919-859-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANTAGE HEALTHCARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "ANEN",
        "authorized_official_first_name": "CHIB",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "919-812-8677",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC2225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409463",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704826",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; 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.