Organization Active NPI

Vitality Healthcare Inc

  • Home Health Agency
  • Arlington Heights, IL
National Provider Identifier
1205079985
Registry record updated Feb 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1011732 Issued in IL
Legal business name
VITALITY HEALTHCARE INC
Practice address
2025 S Arlington Heights Rd Ste 113
Arlington Heights, IL 60005-4141
Phone
(847) 378-8102
Fax
(847) 258-5158
NPI assigned
Apr 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2018

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

Authorized official

Name
Jesusa Pasinabo-Garde, RN
Title
President/Agency Supervisor
Phone
(847) 378-8102

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1921571 IL
Home Health Agency 251E00000X 1011732 IL Primary

Addresses

Primary practice location

2025 S Arlington Heights Rd Ste 113
Arlington Heights, IL 60005-4141

Mailing address

2025 S Arlington Heights Rd Ste 113
Arlington Heights, IL 60005-4141
Phone (847) 378-8102

Other identifiers 1

IdentifierTypeStateIssuer
1010963OtherILSTATE OF ILLINOIS DEPARTMENT OF PUBLIC HEALTH

National Provider Directory

National Provider Directory

Locations

2025 S Arlington Heights Rd
Ste 113
Arlington Heights, IL 60005
Phone (847) 378-8102

4513 Lincoln Ave
Ste 112
Lisle, IL 60532
Phone (630) 435-6501

NPI Registry JSON

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

{
    "created_epoch": "1239408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1205079985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 S ARLINGTON HEIGHTS RD STE 113",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054141",
            "telephone_number": "847-378-8102",
            "fax_number": "847-258-5156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 S ARLINGTON HEIGHTS RD STE 113",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054141",
            "telephone_number": "847-378-8102",
            "fax_number": "847-258-5158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-11",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "PASINABO-GARDE",
        "authorized_official_first_name": "JESUSA",
        "authorized_official_title_or_position": "PRESIDENT/AGENCY SUPERVISOR",
        "authorized_official_telephone_number": "847-378-8102",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1921571",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ILLINOIS DEPARTMENT OF PUBLIC HEALTH",
            "identifier": "1010963",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; 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.