NPIMap

Organization Active NPI

Modern Vintage Residential Care, LLC.

  • Personal Care Attendant
  • Sugar Land, TX
National Provider Identifier
1790394161
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
MODERN VINTAGE RESIDENTIAL CARE, LLC.
Practice address
3 Sugar Creek Center Blvd Ste 100
Sugar Land, TX 77478-2211
Phone
(832) 886-6717
Fax
(833) 529-0204
NPI assigned
Jul 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Authorized official

Name
Derek Wayne Thompson
Title
Owner/Managing Director
Phone
(832) 886-6717

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

3 Sugar Creek Center Blvd Ste 100
Sugar Land, TX 77478-2211

Mailing address

3 Sugar Creek Center Blvd Ste 100
Sugar Land, TX 77478-2211
Phone (832) 886-6717

Other identifiers 1

IdentifierTypeStateIssuer
415779401MedicaidTX

Other names 1

  • Modern Vintage Home Care 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": "1596067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1790394161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SUGAR CREEK CENTER BLVD STE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774782211",
            "telephone_number": "832-886-6717",
            "fax_number": "833-529-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SUGAR CREEK CENTER BLVD STE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774782211",
            "telephone_number": "832-886-6717",
            "fax_number": "833-529-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN VINTAGE RESIDENTIAL CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-30",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER/MANAGING DIRECTOR",
        "authorized_official_telephone_number": "832-886-6717"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "415779401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Vintage Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Modern Vintage Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.