NPIMap

Organization Active NPI

VCG Arizona LLC

  • Home Health Agency
  • Flagstaff, AZ
National Provider Identifier
1992484729
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VCG ARIZONA LLC
Practice address
823 N San Francisco St Ste 2-G1
Flagstaff, AZ 86001-3294
Phone
(903) 787-7609
NPI assigned
Jul 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Authorized official

Name
Chris Walker
Title
Chief Operating Officer
Phone
(214) 491-0041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

823 N San Francisco St Ste 2-G1
Flagstaff, AZ 86001-3294

Mailing address

8150 N Central Expy Ste 1800
Dallas, TX 75206-1883
Phone (903) 787-7609

Other identifiers 1

IdentifierTypeStateIssuer
HHA9614OtherAZSTATE OF ARIZONA LICENSE

National Provider Directory

National Provider Directory
Tax ID family
VCG Arizona LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1992484729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 N CENTRAL EXPY STE 1800",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752061883",
            "telephone_number": "903-787-7609",
            "fax_number": "903-871-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 N SAN FRANCISCO ST STE 2-G1",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013294",
            "telephone_number": "903-787-7609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VCG ARIZONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "214-491-0041"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ARIZONA LICENSE",
            "identifier": "HHA9614",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.