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General NPI Number Information
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NPI Number | 1730053893
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Entity Type | Organization
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Legal Business Name | VIMAC CARE SERVICES LLC
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Dates
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Enumeration Date | 10/01/2025
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 3149 EMMALINE DR
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City | BROWNSBURG
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State | IN
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Zip | 46112-5806
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Country | US
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Telephone | 317-286-7034
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Fax |
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Provider Business Mailing Address
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Address Line | 3149 EMMALINE DR
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City | BROWNSBURG
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State | IN
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Zip | 46112-5806
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Country | US
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Telephone | 317-286-7034
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | MRS. MOJISOLA ERICSON
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Credential | RN, BSN
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Telephone | 317-414-6165
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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