Active NPI
Vicdos Health LLC
- Community/Behavioral Health Agency
- San Antonio, TX
National Provider Identifier
1790566966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 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 DirectoryNPI 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
- Vibrancy Body Health and Wellness Center Inc
- Vibrant ABA Solutions
- Vibrant ABA Solutions LLC
- Vibrant Eyecare, PLLC
- Brian Peter Vicari, MD
- Vicente a Rodriguez MD PA (Respiratory Center of South Texas)
- Gabrielle Alexis Quismundo Vicente, DDS
- Shannyn S Vicente, LCSW
- Stefany Michelle Vicente, MD
- Connie Elizabeth Vick, APRN, FNP-C
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.