Vital Source Home Care Providers LLC

Primary specialty

Adult CompanionTaxonomy code 372600000X

Legal business name

VITAL SOURCE HOME CARE PROVIDERS LLC

Practice address

18945 Fielding St
Detroit, MI 48219-2511

Phone

(313) 492-9437

NPI assigned

Feb 10, 2025

Organization subpart

No

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

Authorized official

Name

Damita Collette JohnsonNPI 1851139620

Title

Manager

Phone

(313) 492-9437

Specialties & licenses 7

Addresses

Other names 1

• DAMITA COLLETTE JOHNSON Other name

Practitioners 1

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

• Damita Johnson

  • Home Health Aide
  • Detroit, MI
  • NPI 1851139620

  Pastoral

  NPD Authorized official

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1124833900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 W FORT ST UNIT 441846",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482443575",
            "telephone_number": "313-492-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18945 FIELDING ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482192511",
            "telephone_number": "313-492-9437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL SOURCE HOME CARE PROVIDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAMITA",
        "authorized_official_middle_name": "COLLETTE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "313-492-9437"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAMITA COLLETTE JOHNSON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Visiting Physicians Services
• Thomas J Vismara, MD
• Diane A Vista-Deck, MD
• Vital Health Management
• Vital Health Pharmacy LLC
• Vital Source Ministry Enterprise
• Vitalcare Primary Care PLC
• Vitalcare Urgent Care PLC
• Angela Vitale
• Vitality Adult Foster Care Home Co

• Adult Companion in Detroit, MI
• Providers in Detroit, MI by specialty
• Adult Companion in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.