Vital Line Picc and Vascular Services, Inc.

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

ARNP9316527 Issued in FL

Legal business name

VITAL LINE PICC AND VASCULAR SERVICES, INC.

Doing business as

Vital Hearts Home Care

Practice address

5525 Louetta Rd Ste a
Spring, TX 77379-7881

Phone

(917) 721-9962

NPI assigned

Feb 12, 2018

Organization subpart

No

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

Authorized official

Name

Deborah Motunrayo Awolowo, RN, ARNPNPI 1245672005

Title

President

Phone

(917) 721-9962

Specialties & licenses 1

Addresses

Other names 1

• Vital Hearts Home Care Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deborah Motunrayo Awolowo, CRNA

  • Certified Registered Nurse Anesthetist
  • Houston, TX
  • NPI 1245672005
  NPD Authorized official

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1174023519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 LOUETTA RD STE A",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797881",
            "telephone_number": "917-721-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 LOUETTA RD STE A",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797881",
            "telephone_number": "917-721-9962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL LINE PICC AND VASCULAR SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-12",
        "last_updated": "2024-07-10",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "AWOLOWO",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "MOTUNRAYO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-721-9962",
        "authorized_official_credential": "RN, ARNP"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "FL",
            "license": "ARNP9316527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Hearts Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nursing Care Agency in Spring, TX
• Providers in Spring, TX by specialty
• Nursing Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.