Organization Active NPI

Vicdos Health LLC

  • Community/Behavioral Health Agency
  • San Antonio, TX
National Provider Identifier
1790566966
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
VICDOS HEALTH LLC
Practice address
8797 Marbach Rd Apt 7104
San Antonio, TX 78227-2383
Phone
(210) 985-6886
Fax
(210) 899-8013
NPI assigned
Oct 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

Name
Heritage Ewaoluwa Ogunmola
Title
Program Manager
Phone
(317) 607-5447

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171W00000X
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

8797 Marbach Rd Apt 7104
San Antonio, TX 78227-2383

Mailing address

19179 Blanco Rd Ste 105
San Antonio, TX 78258-4009
Phone (210) 985-6886

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1790566966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19179 BLANCO RD STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584009",
            "telephone_number": "210-985-6886",
            "fax_number": "210-899-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8797 MARBACH RD APT 7104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782272383",
            "telephone_number": "210-985-6886",
            "fax_number": "210-899-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICDOS HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "OGUNMOLA",
        "authorized_official_first_name": "HERITAGE",
        "authorized_official_middle_name": "EWAOLUWA",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "317-607-5447"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.