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VIVIDERM WOUND CARE
NPI 1407654189
In Home Supportive Care in Corona, CA

Active since March 06, 2025
4081 POMELO DR, CORONA, CA 92883(714) 417-4452 Get Directions Write a Review

NPPES record last updated: April 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vividerm Wound Care NPPES

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

VIVIDERM WOUND CARE (NPI 1407654189) is a healthcare organization registered as an in home supportive care in Corona, California and active in the NPI registry since March 2025. The organization lists Sophia P Ho, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1407654189
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameVIVIDERM WOUND CARE
Location Address4081 POMELO DRCorona, CA 92883-3697
Mailing Address4081 Pomelo DrCorona, CA 92883-3697 · (714) 417-4452
Phone(714) 417-4452
Organization SubpartNo
Authorized OfficialSophia P HoMedical Director · (714) 417-4452
Enumeration DateMarch 6, 2025
Last NPPES UpdateApril 20, 2025
NPPES CertifiedApril 20, 2025
✔ NPI 1407654189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
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.
4081 POMELO DR, Corona, CA 92883
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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 Vividerm Wound Care's NPI number?

The NPI number for Vividerm Wound Care is 1407654189. It was assigned to this organization in the NPPES registry on March 6, 2025.

Where is Vividerm Wound Care located?

Vividerm Wound Care is located at 4081 Pomelo Dr, Corona, CA 92883. The listed phone number is (714) 417-4452.

What is Vividerm Wound Care's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Vividerm Wound Care was last updated on April 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.