Provider Demographics
NPI:1265145775
Name:VIP CLIENT SERVICES LLC
Entity type:Organization
Organization Name:VIP CLIENT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AREA DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EDNA
Authorized Official - Middle Name:
Authorized Official - Last Name:KINSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-773-8842
Mailing Address - Street 1:8215 W ILLINI ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85043-1688
Mailing Address - Country:US
Mailing Address - Phone:602-773-8842
Mailing Address - Fax:
Practice Address - Street 1:8215 W ILLINI ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85043-1688
Practice Address - Country:US
Practice Address - Phone:602-773-8842
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-29
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care