Provider Demographics
NPI:1346637154
Name:VITAL TRANSITIONS HOME CARE, LLC
Entity Type:Organization
Organization Name:VITAL TRANSITIONS HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:PLUMMER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:832-563-8878
Mailing Address - Street 1:13831 NORTHWEST FWY
Mailing Address - Street 2:SUITE 420
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77040-5200
Mailing Address - Country:US
Mailing Address - Phone:713-352-7717
Mailing Address - Fax:
Practice Address - Street 1:13831 NORTHWEST FWY
Practice Address - Street 2:SUITE 420
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77040-5200
Practice Address - Country:US
Practice Address - Phone:713-352-7717
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-20
Last Update Date:2015-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX802002917251E00000X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care