Provider Demographics
NPI:1609580265
Name:VITAL CAREGIVERS OF OHIO
Entity Type:Organization
Organization Name:VITAL CAREGIVERS OF OHIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:BRITTNEY
Authorized Official - Middle Name:JANELL
Authorized Official - Last Name:TERRY
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:513-478-7108
Mailing Address - Street 1:7942 CLOVERNOOK AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-3302
Mailing Address - Country:US
Mailing Address - Phone:513-478-7108
Mailing Address - Fax:
Practice Address - Street 1:7942 CLOVERNOOK AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-3302
Practice Address - Country:US
Practice Address - Phone:513-478-7108
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health