Vip Care Management Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

VIP CARE MANAGEMENT INC

Practice address

2270 Ashby Ave
Berkeley, CA 94705

Phone

(510) 841-9494

Fax

(510) 841-1120

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

David Dediachvili

Title

Ceo

Phone

(415) 867-4033

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ashby Care Center Ashby Geriatric Hospital Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972601987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 DIAS COURT",
            "city": "EL SOBRANTE",
            "state": "CA",
            "postal_code": "94803",
            "telephone_number": "510-223-1252",
            "fax_number": "510-223-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 ASHBY AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "94705",
            "telephone_number": "510-841-9494",
            "fax_number": "510-841-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP CARE MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEDIACHVILI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-867-4033"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTM90004 I",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashby Care Center Ashby Geriatric Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chelsea Villareal
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• Alisa Vincent, MFTI
• Charlette Viney
• Violette Hong MD, Inc
• Naunihal Singh Virdi, M.D.
• Virgo International Partners
• Visioncare of California
• Vista Psychiatric and Primary Care Services
• Vitality Physical Therapy PC

• Skilled Nursing Facility in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.