Organization Active NPI

VTL Care Massachusetts LLC

  • Home Health Agency
  • Boston, MA
National Provider Identifier
1902545577
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VTL CARE MASSACHUSETTS LLC
Practice address
60 Gibson St Unit 5B5
Boston, MA 02122-1258
Phone
(856) 796-2063
NPI assigned
Jun 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Authorized official

Name
Michael Ryan Sanderson
Title
Owner
Phone
(856) 796-2063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

60 Gibson St Unit 5B5
Boston, MA 02122-1258

Mailing address

60 Gibson St Unit 5B5
Boston, MA 02122-1258
Phone (856) 796-2063

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1902545577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 GIBSON ST UNIT 5B5",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021221258",
            "telephone_number": "856-796-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 GIBSON ST UNIT 5B5",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021221258",
            "telephone_number": "856-796-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VTL CARE MASSACHUSETTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "SANDERSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-796-2063"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.