Provider Demographics
NPI:1952098832
Name:VIKI PARTNERS IN CARE
Entity Type:Organization
Organization Name:VIKI PARTNERS IN CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EDDY PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:KIYENGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:857-244-4857
Mailing Address - Street 1:14407 O CASEY LANE
Mailing Address - Street 2:HOUSE
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28213
Mailing Address - Country:US
Mailing Address - Phone:857-244-4857
Mailing Address - Fax:
Practice Address - Street 1:14407 O CASEY LANE
Practice Address - Street 2:HOUSE
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28213-2821
Practice Address - Country:US
Practice Address - Phone:857-244-4857
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-20
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility