Modern Vintage Home Care – Intellectual and/or Developmental Disabilities Residential Treatment Facility, NPI 1790394161

Modern Vintage Home Care is a healthcare provider. based in Missouri city, Texas. specializing in Intellectual and/or Developmental Disabilities Residential Treatment Facility. The NPI Number for Modern Vintage Home Care is 1790394161

Main info

Organization
Name
Modern Vintage Home Care
NPI
1790394161
Phone
(806) 681-1122
Address
4015 ALEXIS TATE CIR
Authorized Official
DEREK WAYNE THOMPSON OWNER/MANAGING DIRECTOR
Enumeration Date
30 July 2020
Last Update Date
25 February 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness90
Years active:5State licenses:0Digital endpoints

Provider Addresses for Modern Vintage Home Care

  • 4015 ALEXIS TATE CIR

    MISSOURI CITY, TX 774595039

    Phone: (806) 681-1122

    Type: Mailing

  • 3 SUGAR CREEK CENTER BLVD STE 100

    SUGAR LAND, TX 774782211

    Phone: (832) 886-6717

    Fax: (833) 529-0204

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77459)

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Reviews

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Frequently asked questions

Can I verify Modern Vintage Home Care with an NPI only?
You can start verification with NPI 1790394161 for Modern Vintage Home Care, then check state licensing separately.
Does CMS list Modern Vintage Home Care as active?
Yes — Modern Vintage Home Care is active in the NPI listing used on this page.
What is Modern Vintage Home Care's primary classification?
Intellectual and/or Developmental Disabilities Residential Treatment Facility is the headline specialty for Modern Vintage Home Care here. Clinical services aligned with this taxonomy classification.
Where should I expect Modern Vintage Home Care on a map?
Expect Missouri City, Texas as a primary anchor for Modern Vintage Home Care unless the record lists multiple sites.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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