# VIP STARNETWORK, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** VIP STARNETWORK, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104442698
- **Authorized official:** JOHONNIUSS H CHEMWENO (CEO)
- **Authorized official phone:** (505) 389-2279

## Contact information

- **Practice address:** 4904 ALAMEDA BLVD NE STE B, ALBUQUERQUE, NM 87113-2385
- **Practice address phone:** (505) 389-2279
- **Practice address fax:** (505) 212-0553
- **Mailing address:** PO BOX 90056, ALBUQUERQUE, NM 87199-0056
- **Mailing address phone:** (505) 389-2279
- **Mailing address fax:** (505) 212-0553

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251G00000X | Community Based Hospice Care Agency | — | NULL | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | — |
| 251X00000X | Supports Brokerage Agency | — | NULL | — |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/19/2020
- **Last updated:** 06/19/2020