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General NPI Number Information
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NPI Number | 1356647887
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Entity Type | Organization
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Legal Business Name | VIP HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 02/01/2011
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 12125 DAY ST STE H308
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City | MORENO VALLEY
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State | CA
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Zip | 92557-6705
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Country | US
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Telephone | 951-601-9101
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Fax | 888-613-0760
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Provider Business Mailing Address
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Address Line | 12125 DAY STREET SUITE H308
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City | MORENO VALLEY
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State | CA
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Zip | 92557-6705
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Country | US
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Telephone | 951-601-9101
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO/PRESIDENT /MANAGER
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Name | WADZANAI ZENGENI
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Credential |
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Telephone | 951-601-9101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 550001969
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License Number State | CA
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