Vine Homecare & Staffing, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

VINE HOMECARE & STAFFING, INC.

Practice address

98 Forest St
Peabody, MA 01960-3907

Phone

(978) 532-5592

Fax

(978) 587-2460

NPI assigned

Apr 14, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Emmanuel Chidi Ejiofor

Title

Ceo

Phone

(978) 532-5592

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Home health agency certification: CCN 227542

Legal name

VINE HOMECARE & STAFFING, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 6, 2011

Last certification

Dec 19, 2014

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Mar 20, 2002 in MA

Enrollment address

10 George St
Ste 205
Lowell, MA 01852-2293
HHA Branch

Listed as

Vine Homecare and StaffingCCN 227542

Ownership

Proprietary

Certified

Dec 6, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Maina

  • Registered Nurse
  • Methuen, MA
  • NPI 1396388401
  NPD

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1821314915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 ANDOVER ST",
            "address_2": "SUITE 104",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231450",
            "telephone_number": "978-532-5592",
            "fax_number": "978-239-9739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 FOREST ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019603907",
            "telephone_number": "978-532-5592",
            "fax_number": "978-587-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINE HOMECARE & STAFFING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-14",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "EJIOFOR",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "CHIDI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "978-532-5592",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Peabody, MA
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• Home Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.