Vital Home Health Care, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

VITAL HOME HEALTH CARE, INC

Doing business as

Vital Home Health

Practice address

330 Municipal Dr # 104B
Richardson, TX 75080-3541

Phone

(972) 840-1010

Fax

(972) 840-1011

NPI assigned

Oct 29, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Sherly Philipose

Title

Administrator

Phone

(972) 840-1010

Specialties & licenses 2

Addresses

Other names 1

• Vital Home Health Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 747051

Legal name

VITAL HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 19, 2008

Last certification

Oct 1, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jun 5, 2006 in TX

Enrollment address

330 Municipal Dr
Ste 104 B
Richardson, TX 75080-3541

Listed as

Vital Home HealthCCN 747051

Ownership

Proprietary

Certified

Nov 19, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

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

• Bincy C Jacob, NP

  • Nurse Practitioner
  • Dallas, TX
  • NPI 1497128003
  NPD (past)

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

{
    "created_epoch": "1162080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1093891301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 MUNICIPAL DR # 104B",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803541",
            "telephone_number": "972-840-1010",
            "fax_number": "972-840-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MUNICIPAL DR # 104B",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803541",
            "telephone_number": "972-840-1010",
            "fax_number": "972-840-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL HOME HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "PHILIPOSE",
        "authorized_official_first_name": "SHERLY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-840-1010",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vital Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacob M Vintinner, P.A.-C
• Kimberly Ann Viscione
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• Vista Rehab Partners LP
• Vita Home Health Care LLC
• Viva Medical Group, LLC
• Vivek Raj PLLC
• Viveri Youth Services LLC
• Duc P Vo, MD
• Robert Mitchiner Voelker Jr., M.D.

• Home Health Agency in Richardson, TX
• Providers in Richardson, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.