Active NPI
Vital Home Health LLC
- Home Health Agency
- Albuquerque, NM
National Provider Identifier
1083348676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- VITAL HOME HEALTH LLC
- Practice address
- 5345 Wyoming Blvd NE Ste 203
Albuquerque, NM 87109-3148 - Phone
- (505) 433-4228
- Fax
- (505) 433-4249
- NPI assigned
- Jul 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tenzin Yangchen, CNP
- Title
- Owner
- Phone
- (505) 385-2852
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
5345 Wyoming Blvd NE Ste 203
Albuquerque, NM 87109-3148
Mailing address
3135 Mountainside Pkwy NE
Albuquerque, NM 87111
Phone (505) 385-2852
National Provider Directory
National Provider DirectoryLocations
5345 Wyoming Blvd NE
Ste 203
Albuquerque, NM 87109
Phone (505) 433-4228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675641600000",
"number": "1083348676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3135 MOUNTAINSIDE PKWY NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87111",
"telephone_number": "505-385-2852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5345 WYOMING BLVD NE STE 203",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871093148",
"telephone_number": "505-433-4228",
"fax_number": "505-433-4249"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITAL HOME HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-11",
"last_updated": "2023-02-06",
"certification_date": "2023-02-06",
"status": "A",
"authorized_official_last_name": "YANGCHEN",
"authorized_official_first_name": "TENZIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "505-385-2852",
"authorized_official_credential": "CNP"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.