Provider Demographics
NPI:1093891301
Name:VITAL HOME HEALTH CARE, INC
Entity Type:Organization
Organization Name:VITAL HOME HEALTH CARE, INC
Other - Org Name:VITAL HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILIPOSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-840-1010
Mailing Address - Street 1:330 MUNICIPAL DR # 104B
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-3541
Mailing Address - Country:US
Mailing Address - Phone:972-840-1010
Mailing Address - Fax:972-840-1011
Practice Address - Street 1:330 MUNICIPAL DR # 104B
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3541
Practice Address - Country:US
Practice Address - Phone:972-840-1010
Practice Address - Fax:972-840-1011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-29
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty