Provider Demographics
NPI:1861529208
Name:VIP PROVIDERS INC
Entity type:Organization
Organization Name:VIP PROVIDERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:DELGADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-592-5222
Mailing Address - Street 1:1212 N 14TH ST
Mailing Address - Street 2:STE 3
Mailing Address - City:KINGSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78363-4020
Mailing Address - Country:US
Mailing Address - Phone:361-592-5222
Mailing Address - Fax:361-592-5639
Practice Address - Street 1:1212 N 14TH ST
Practice Address - Street 2:STE 3
Practice Address - City:KINGSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78363-4020
Practice Address - Country:US
Practice Address - Phone:361-592-5222
Practice Address - Fax:361-592-5639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX006350251E00000X
3747P1801X, 3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000697900Medicaid
TX001014146Medicaid
TX000119800Medicaid