Provider Demographics
NPI:1043942782
Name:VITAL BOOST HOME HEALTH
Entity Type:Organization
Organization Name:VITAL BOOST HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:HOSEP
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:YEPREMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-977-3593
Mailing Address - Street 1:18254 SHERMAN WAY STE 104
Mailing Address - Street 2:
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-4550
Mailing Address - Country:US
Mailing Address - Phone:747-977-3593
Mailing Address - Fax:747-977-3594
Practice Address - Street 1:18254 SHERMAN WAY STE 104
Practice Address - Street 2:
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-4550
Practice Address - Country:US
Practice Address - Phone:747-977-3593
Practice Address - Fax:747-977-3594
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VBHH INVESTMENTS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-06-30
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health