Active NPI
Vital Homecare, Inc.
- Home Health Agency
- Peoria, AZ
National Provider Identifier
1144828831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Ownership
- Proprietary
- Certified
- Aug 13, 2021
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Alex Arutunyan | 5% Or Greater Direct Ownership Interest | Jun 16, 2025 | 100% |
| Corporate Officer | Jun 16, 2025 | 100% | |
| Corporate Director | Jun 16, 2025 | 100% | |
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.