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VINTAGE SPECIALIZED SERVICES LLC
NPI 1366002073
Nurse Practitioner - Family in Rives Junction, MI

Active since June 14, 2019
2055 PERRINE RD, RIVES JUNCTION, MI 49277(517) 574-2401 Get Directions Write a Review

NPPES record last updated: June 14, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Vintage Specialized Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VINTAGE SPECIALIZED SERVICES LLC (NPI 1366002073) is a healthcare organization registered as a family in Rives Junction, Michigan and active in the NPI registry since June 2019. The organization lists Latoshia Lynn Baruti, Administrator, as its authorized official.

NPPES Registry Identity

NPI1366002073
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameVINTAGE SPECIALIZED SERVICES LLC
Location Address2055 PERRINE RDRives Junction, MI 49277-9735
Mailing Address207 E Bellevue StLeslie, MI 49251-9373
Phone(517) 574-2401
Organization SubpartNo
Authorized OfficialLatoshia Lynn BarutiAdministrator · (517) 574-2401
Enumeration DateJune 14, 2019
✔ NPI 1366002073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
2055 PERRINE RD, Rives Junction, MI 49277
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vintage Specialized Services LLC's NPI number?

The NPI number for Vintage Specialized Services LLC is 1366002073. It was assigned to this organization in the NPPES registry on June 14, 2019.

Where is Vintage Specialized Services LLC located?

Vintage Specialized Services LLC is located at 2055 Perrine Rd, Rives Junction, MI 49277. The listed phone number is (517) 574-2401.

What is Vintage Specialized Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Vintage Specialized Services LLC was last updated on June 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.