Provider Demographics
NPI:1144828831
Name:VITAL HOMECARE, INC.
Entity type:Organization
Organization Name:VITAL HOMECARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:ARUTUNYAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:480-281-9096
Mailing Address - Street 1:16165 N. 83RD AVE SUITE 200
Mailing Address - Street 2:UNIT 212
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85382-3424
Mailing Address - Country:US
Mailing Address - Phone:480-281-9096
Mailing Address - Fax:480-780-0077
Practice Address - Street 1:16165 NORTH 83RD AVENUE
Practice Address - Street 2:SUITE 200, UNIT 212
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85382-5816
Practice Address - Country:US
Practice Address - Phone:480-281-9096
Practice Address - Fax:480-780-0077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-14
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health