Organization Active NPI

Vital Homecare, Inc.

  • Home Health Agency
  • Peoria, AZ
National Provider Identifier
1144828831
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VITAL HOMECARE, INC.
Practice address
16165 North 83Rd Avenue
Suite 200, Unit 212
Peoria, AZ 85382-5816
Phone
(480) 281-9096
Fax
(480) 780-0077
NPI assigned
Oct 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Authorized official

Name
Alex Arutunyan, RN
Title
Ceo
Phone
(480) 281-9096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

16165 North 83Rd Avenue
Suite 200, Unit 212
Peoria, AZ 85382-5816

Mailing address

16165 N. 83Rd Ave Suite 200
Unit 212
Peoria, AZ 85382-3424
Phone (480) 281-9096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201106001797 AZ Part A Provider - Home Health Agency 9830509660 Practice locations: Peoria, AZ

Home health agency certification: CCN 037802

Legal name
VITAL HOMECARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 13, 2021
Last certification
Aug 13, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
16165 North 83Rd Avenue
Suite 200, Unit 212
Peoria, AZ 85382-5816

Care Compare: Home health agency

Medicare Care Compare
Listed as
Vital Homecare, IncCCN 037802
Ownership
Proprietary
Certified
Aug 13, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

2375 E Camelback Rd
Ste 632
Phoenix, AZ 85016

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Alex Arutunyan Individual 5% Or Greater Direct Ownership InterestCeo,Cfo,Secretary,Director Jun 16, 2025 100%
Corporate OfficerCeo,Cfo,Secretary,Director Jun 16, 2025 100%
Corporate DirectorCeo,Cfo,Secretary,Director Jun 16, 2025 100%
W-2 Managing EmployeeCeo,Cfo,Secretary,Director Jun 16, 2025 100%

NPI Registry JSON

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1144828831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16165 N. 83RD AVE SUITE 200",
            "address_2": "UNIT 212",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823424",
            "telephone_number": "480-281-9096",
            "fax_number": "480-780-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16165 NORTH 83RD AVENUE",
            "address_2": "SUITE 200, UNIT 212",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853825816",
            "telephone_number": "480-281-9096",
            "fax_number": "480-780-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL HOMECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-14",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "ARUTUNYAN",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-281-9096",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.