VICKSBURG HOME CARE
NPI 1245740190
In Home Supportive Care in Vicksburg, MI

Active since October 05, 2017
3075 E VW AVE, VICKSBURG, MI 49097(269) 492-8423(866) 854-7795 Get Directions Write a Review

NPPES record last updated: October 5, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • In Home Supportive Care

About VICKSBURG HOME CARE

This page provides the complete NPI Profile along with additional information for Vicksburg Home Care, a provider established in Vicksburg, Michigan operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1245740190 assigned on October 2017. The practitioner's primary taxonomy code is 253Z00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Ms. Tracy Converse (Ceo)

NPI
1245740190 Verify this NPI
Provider Name
VICKSBURG HOME CARE
Entity Type
Organization
Location Address
3075 E VW AVE VICKSBURG, MI 49097
Location Phone
(269) 492-8423
Location Fax
(866) 854-7795
Mailing Address
PO BOX 606 SCHOOLCRAFT, MI 49087
Mailing Phone
(269) 492-8423
Mailing Fax
(866) 854-7795
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-05-2017
Last Update Date
10-05-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

In Home Supportive Care

Taxonomy Code
253Z00000X
Type
Agencies
Taxonomy Description
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. TRACY CONVERSE

Authorized Official Title
CEO
Authorized Official Phone
(269) 492-8423

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245740190, enumerated as an "organization" on October 05, 2017.

The provider is located at 3075 E VW AVE VICKSBURG, MI 49097 and the phone number is (269) 492-8423.

In Home Supportive Care with taxonomy code 253Z00000X.