Viviance Adult Day Health

Primary specialty

Private VehicleTaxonomy code 347C00000X

License

RR817269 Issued in OH

Legal business name

VIVIANCE ADULT DAY HEALTH

Practice address

522 Park Ave W
Mansfield, OH 44906-3720

Phone

(419) 610-0057

NPI assigned

Apr 29, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Edeisha E Brooks

Title

Owner

Phone

(419) 610-0057

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304035200000",
    "number": "1831480441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 BROADVIEW AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449031946",
            "telephone_number": "419-610-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 PARK AVE W",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063720",
            "telephone_number": "419-610-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVIANCE ADULT DAY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-29",
        "last_updated": "2011-04-29",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "EDEISHA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-610-0057",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "OH",
            "license": "RR817269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Vincent, RN
• Visiting Nurse Association of Mid-Ohio
• Srividya Viswanathan, M.D
• Vita Fidelis LLC
• Vitality Mansfield, LLC
• Jennifer Vlasic, RPH
• Jason W Voelp
• Volunteers of America Ohio & Indiana
• Bethanie Vranekovic
• W William Schmidt & Assoc Inc

• Private Vehicle in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Private Vehicle in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; 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.