Provider Demographics
NPI:1992571376
Name:VIP FAMILY HHC, LLC
Entity type:Organization
Organization Name:VIP FAMILY HHC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CFO
Authorized Official - Prefix:
Authorized Official - First Name:OCTAVIO
Authorized Official - Middle Name:DE JESUS
Authorized Official - Last Name:CRUZ MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:321-272-3345
Mailing Address - Street 1:7362 FUTURES DR STE 14
Mailing Address - Street 2:OFFICE 106
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-9086
Mailing Address - Country:US
Mailing Address - Phone:321-272-3345
Mailing Address - Fax:407-650-3396
Practice Address - Street 1:7362 FUTURES DR STE 14
Practice Address - Street 2:OFFICE 106
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-9086
Practice Address - Country:US
Practice Address - Phone:321-272-3345
Practice Address - Fax:407-650-3396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-28
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health