Organization · Type 2 NPI

Modern Vintage Residential Care, Llc.

Personal Care Attendant · Sugar Land, TX

NPI number 1790394161 Active

Practice location

3 Sugar Creek Center Blvd Ste 100
Sugar Land, TX 77478-2211

Fax (833) 529-0204

Specialties and licenses

Taxonomy	Code	License
Home Health Agency	251E00000X	None listed
In Home Supportive Care Agency	253Z00000X	None listed
Personal Care Attendant Primary	3747P1801X	None listed

Personal Care Attendant: An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

21 other providers at this address

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NPI record

NPI: 1790394161
Entity type: Organization (Type 2)
Issued: Jul 30, 2020
Last updated: Feb 25, 2026
Status: Active

Other names

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Modern Vintage Home Care · doing business as
Modern Vintage Home Care · doing business as

Authorized official

Derek Wayne Thompson
Owner/managing Director
(832) 886-6717

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1790394161

Modern Vintage Residential Care, Llc.'s National Provider Identifier is 1790394161, issued on Jul 30, 2020. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Sugar Land, TX. The record was last updated on Feb 25, 2026.