Organization Active NPI

Vita Home Care, Inc.

  • In Home Supportive Care Agency
  • Northbrook, IL
National Provider Identifier
1093409542
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
VITA HOME CARE, INC.
Practice address
346 Anthony TRL
Northbrook, IL 60062-2014
Phone
(872) 257-8653
NPI assigned
Jun 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Authorized official

Name
Marianna Pokotylo, RN
Title
Director
Phone
(872) 257-8653

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

346 Anthony TRL
Northbrook, IL 60062-2014

Mailing address

346 Anthony TRL
Northbrook, IL 60062-2014
Phone (872) 257-8653

National Provider Directory

National Provider Directory

Locations

346 Anthony Trl
Northbrook, IL 60062
Phone (872) 257-8653

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1093409542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 ANTHONY TRL",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622014",
            "telephone_number": "872-257-8653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 ANTHONY TRL",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622014",
            "telephone_number": "872-257-8653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITA HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "POKOTYLO",
        "authorized_official_first_name": "MARIANNA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "872-257-8653",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.

Verify at the official NPI Registry.