Provider Demographics
NPI:1558932400
Name:VIEMED CLINICAL SERVICES, LLC
Entity Type:Organization
Organization Name:VIEMED CLINICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VP
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-255-7438
Mailing Address - Street 1:625 E KALISTE SALOOM RD STE 400-N
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-2540
Mailing Address - Country:US
Mailing Address - Phone:337-504-3802
Mailing Address - Fax:337-504-4409
Practice Address - Street 1:16903 RED OAK DR # LP172C
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-3914
Practice Address - Country:US
Practice Address - Phone:713-777-7368
Practice Address - Fax:337-504-4409
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VIEMED, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-01
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty