Provider Demographics
NPI:1285522946
Name:VINGINO, ANDREW JAMES
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:JAMES
Last Name:VINGINO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:268 MATHENY HILL RD
Mailing Address - Street 2:
Mailing Address - City:ENTERPRISE
Mailing Address - State:WV
Mailing Address - Zip Code:26568-7519
Mailing Address - Country:US
Mailing Address - Phone:681-526-0262
Mailing Address - Fax:
Practice Address - Street 1:268 MATHENY HILL RD
Practice Address - Street 2:
Practice Address - City:ENTERPRISE
Practice Address - State:WV
Practice Address - Zip Code:26568-7519
Practice Address - Country:US
Practice Address - Phone:681-526-0262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant