Organization Active NPI

Vitalguard Homecare LLC

  • Home Health Aide
  • Durham, NC
National Provider Identifier
1033927801
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
VITALGUARD HOMECARE LLC
Practice address
5007 Southpark Dr Ste 200H
Durham, NC 27713-7739
Phone
(919) 591-7297
NPI assigned
Dec 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Aondosoo Vitalis Vandefan, AUTHORIZED OFFICIAL
Title
Authorized Official
Phone
(919) 207-8052

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X
Assisted Living Facility 310400000X
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

5007 Southpark Dr Ste 200H
Durham, NC 27713-7739

Mailing address

5007 Southpark Dr Ste 200H
Durham, NC 27713-7739
Phone (919) 207-8052

National Provider Directory

National Provider Directory

Locations

5007 Southpark Dr
Ste 200H
Durham, NC 27713
Phone (919) 544-6848

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1033927801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5007 SOUTHPARK DR STE 200H",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277137739",
            "telephone_number": "919-207-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5007 SOUTHPARK DR STE 200H",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277137739",
            "telephone_number": "919-591-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALGUARD HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-24",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "VANDEFAN",
        "authorized_official_first_name": "AONDOSOO",
        "authorized_official_middle_name": "VITALIS",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "919-207-8052",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "AUTHORIZED OFFICIAL"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.