Provider Demographics
NPI:1407516255
Name:SAMVI, LLC
Entity Type:Organization
Organization Name:SAMVI, LLC
Other - Org Name:VITAL CARE INFUSION SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:VRINDA
Authorized Official - Middle Name:J
Authorized Official - Last Name:NAIK
Authorized Official - Suffix:
Authorized Official - Credentials:PIC
Authorized Official - Phone:678-705-2055
Mailing Address - Street 1:5881 GLENRIDGE DR STE 110
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-8184
Mailing Address - Country:US
Mailing Address - Phone:678-705-2055
Mailing Address - Fax:470-428-2094
Practice Address - Street 1:5881 GLENRIDGE DR STE 110
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-8184
Practice Address - Country:US
Practice Address - Phone:678-705-2055
Practice Address - Fax:470-428-2094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-21
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No333600000XSuppliersPharmacy