Vitalis Healthcare Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

VITALIS HEALTHCARE SERVICES LLC

Practice address

8757 Georgia Ave Ste 440
Silver Spring, MD 20910-3750

Phone

(240) 716-6874

NPI assigned

Oct 22, 2015

Last updated

Feb 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Okezie Okechukwu Ofoegbu

Title

President / Administrator

Phone

(240) 716-6874

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1174995765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8757 GEORGIA AVE STE 440",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103750",
            "telephone_number": "240-716-6874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8757 GEORGIA AVE STE 440",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103750",
            "telephone_number": "240-716-6874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALIS HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-22",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "OFOEGBU",
        "authorized_official_first_name": "OKEZIE",
        "authorized_official_middle_name": "OKECHUKWU",
        "authorized_official_title_or_position": "PRESIDENT / ADMINISTRATOR",
        "authorized_official_telephone_number": "240-716-6874"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.