Provider Demographics
NPI:1043865983
Name:VIBRANT HEALTHCARE STAFFING & HOMECARE
Entity Type:Organization
Organization Name:VIBRANT HEALTHCARE STAFFING & HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNET
Authorized Official - Middle Name:
Authorized Official - Last Name:ASIO-PASQUALI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:253-240-6489
Mailing Address - Street 1:5003 59TH AVENUE CT W
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY PLACE
Mailing Address - State:WA
Mailing Address - Zip Code:98467-4134
Mailing Address - Country:US
Mailing Address - Phone:253-355-3087
Mailing Address - Fax:855-413-7319
Practice Address - Street 1:5401 S TACOMA WAY
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98409-4312
Practice Address - Country:US
Practice Address - Phone:253-240-6489
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-07
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care