Organization Active NPI

Vital Home Care Services LLC

  • In Home Supportive Care Agency
  • Saint Louis, MO
National Provider Identifier
1255789467
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
VITAL HOME CARE SERVICES LLC
Practice address
1409 Washington Ave
Suite 217
Saint Louis, MO 63103-1936
Phone
(314) 899-9888
Fax
(314) 899-9191
NPI assigned
May 27, 2016
Last updated
Oct 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Authorized official

Name
Mr. Hersi HersiNPI 1477901684
Title
Adminstrator
Phone
(314) 899-9888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

1409 Washington Ave
Suite 217
Saint Louis, MO 63103-1936

Mailing address

1409 Washington Ave
Suite 217
Saint Louis, MO 63103-1936
Phone (314) 899-9888

National Provider Directory

National Provider Directory

Locations

1409 Washington Ave
Ste 217
Saint Louis, MO 63103
Phone (314) 899-9888

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1255789467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 WASHINGTON AVE",
            "address_2": "SUITE 217",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031936",
            "telephone_number": "314-899-9888",
            "fax_number": "314-899-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 WASHINGTON AVE",
            "address_2": "SUITE 217",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031936",
            "telephone_number": "314-899-9888",
            "fax_number": "314-899-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "HERSI",
        "authorized_official_first_name": "HERSI",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "314-899-9888",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.