Provider Demographics
NPI:1578342630
Name:VIP FAMILY HOME LLC
Entity Type:Organization
Organization Name:VIP FAMILY HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER / OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:BROWNING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-730-6957
Mailing Address - Street 1:PO BOX 342
Mailing Address - Street 2:
Mailing Address - City:OLIVER SPRINGS
Mailing Address - State:TN
Mailing Address - Zip Code:37840-0342
Mailing Address - Country:US
Mailing Address - Phone:423-494-3559
Mailing Address - Fax:877-919-5571
Practice Address - Street 1:933 E TRI COUNTY BLVD STE B
Practice Address - Street 2:
Practice Address - City:OLIVER SPRINGS
Practice Address - State:TN
Practice Address - Zip Code:37840-1838
Practice Address - Country:US
Practice Address - Phone:865-730-6957
Practice Address - Fax:877-919-5571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-27
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health