VCCF Home Care LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

VCCF HOME CARE LLC

Doing business as

VCCF Adult Day Services

Practice address

27739 Jefferson Ave
Saint Clair Shores, MI 48081-1309

Phone

(586) 777-2115

Fax

(313) 731-1943

NPI assigned

Nov 9, 2017

Last updated

Dec 15, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Beth Ryan

Title

Executive Vice President

Phone

(586) 777-2115

Specialties & licenses 4

Addresses

Other names 1

• VCCF Adult Day Services Doing business as

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513296000000",
    "number": "1962915132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27739 JEFFERSON AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811309",
            "telephone_number": "586-777-2115",
            "fax_number": "313-731-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27739 JEFFERSON AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811309",
            "telephone_number": "586-777-2115",
            "fax_number": "313-731-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VCCF HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2017-12-15",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "MARY BETH",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "586-777-2115"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VCCF Adult Day Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Vansullen, LMSW, RN
• Maggie Varney
• Michelle Marie Varney, MA, CCC-SLP
• Matthew Vasko, M.D.
• Renee Vatne, PT
• Julie Vedua, PT
• Anthony Frank Veggian, LMSW
• Victor Velocci, M.D.
• Sachin Venkatachalam, PT
• Sarah Ventimiglia, PA-C

• Clinical Social Worker in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; 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.