Provider Demographics
NPI:1649960055
Name:VITAHEALTH HOME CARE INC
Entity type:Organization
Organization Name:VITAHEALTH HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DON/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MASSIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-808-6614
Mailing Address - Street 1:3980 TAMPA RD STE 205M
Mailing Address - Street 2:
Mailing Address - City:OLDSMAR
Mailing Address - State:FL
Mailing Address - Zip Code:34677-3223
Mailing Address - Country:US
Mailing Address - Phone:727-440-4212
Mailing Address - Fax:727-477-1746
Practice Address - Street 1:3980 TAMPA RD STE 205M
Practice Address - Street 2:
Practice Address - City:OLDSMAR
Practice Address - State:FL
Practice Address - Zip Code:34677-3223
Practice Address - Country:US
Practice Address - Phone:727-440-4212
Practice Address - Fax:727-477-1746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-09
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health