VINCE MARTIN LLC (NPI# 1063945889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063945889 |
Entity Type | Organization |
Organization Name | VINCE MARTIN LLC |
Practice Address |
108 Bridgewood Ct Unit B Stafford VA 22554-7741 |
Practice Telephone | 5406997225 |
Enumeration Date | 2017-04-07 |
Last Update Date | 2017-04-07 |
Authorized Official Name | VINCENT ANTHONY MARTIN JR. (HOME HEALTH AIDE PERSONAL CARE) |
Authorized Official Telephone | 5406997225 |
Authorized Official Credential | CNA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 385H00000X | Respite Care | Respite Care Facility |
Street Address |
108 BRIDGEWOOD CT UNIT B |
City | STAFFORD |
State | VA |
Zip Code | 22554-7741 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437683919 | Katz Health | In Home Supportive Care | 108 Bridgewood Ct Unit B, Stafford, VA 22554-7741 | 2017-04-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699385658 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 1640 Publix Way, Stafford, VA 22554 | 2020-08-05 |
1700368156 | Aws Altameemi | Dentist | 392 Garrisonville Road 205, Stafford, VA 22554 | 2018-09-02 |
1831680214 | Radka Loucka | Counselor | 2124 Jefferson Davis Highway, Suite 202, Stafford, VA 22554 | 2018-05-22 |
1205383718 | Ogiawesome | Non-emergency Medical Transport (VAN) | 109 Chesterbrook Court, Stafford, VA 22554 | 2016-09-01 |
1184088502 | Inina Plucer-rosario | Behavioral Analyst | 12 Monument Drive, Stafford, VA 22554 | 2016-04-12 |
1528451218 | Insight Psychological Services, Pllc | Counselor | 11 Hope Rd., Suite 213, Stafford, VA 22554 | 2015-03-05 |
1194142885 | Krystal Karin Edmonds | Behavioral Analyst | 538 Apricot Street, Stafford, VA 22554 | 2014-03-20 |
1851715312 | Maryann Byrne | Counselor | 108 Brandice St, Stafford, VA 22554 | 2014-02-04 |
1164857272 | Melissa C Keylor | Counselor | 11 Hope Road, Suite 213, Stafford, VA 22554 | 2013-09-09 |
1255777959 | Sophia Rodrigues | Physical Therapist | 2777 Jefferson Davis Hwy, Suite 109, Performance Physical Therapy, Stafford, VA 22554 | 2013-05-21 |
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Taxonomy Code | 385H00000X |
Grouping | Respite Care Facility |
Classification | Respite Care |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265954838 | 18 and Beyond Special Services; LLC | Respite Care | 10200 W Airport Blvd Ste 100, Stafford, TX 77477 | 2017-07-14 |
1346552809 | Prosperity In-home Health Care | Respite Care | 2152 Jefferson Davis Hwy, C, Stafford, VA 22554-7281 | 2010-07-12 |
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1083236160 | Live With A Purpose Home Care, LLC | Respite Care | 3600 Pointe Center Ct Ste 180, Dumfries, VA 22026-2669 | 2020-05-12 |
1871113480 | Snow White Home Health Care LLC | Respite Care | 370 Neff Ave Ste I11, Harrisonburg, VA 22801-3686 | 2020-04-23 |
1811522345 | Rashidah Barrett | Respite Care | 223 Greenfield Cres, Suffolk, VA 23434-4882 | 2020-03-04 |
1811537954 | Jio Home Health Care, Inc. | Respite Care | 42835 Delphinium Cir, Leesburg, VA 20176-6849 | 2020-01-07 |
1902449291 | Ace Home Healthcare Services LLC | Respite Care | 14163 Rockinghorse Dr, Woodbridge, VA 22193-3769 | 2019-10-19 |
1760023998 | Providential Homecare | Respite Care | 1445 E Rio Rd Ste 201c, Charlottesville, VA 22901-1751 | 2019-09-29 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.