JT'Tama Vital Home Care, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

JT'TAMA VITAL HOME CARE, INC

Practice address

5700 Lake Worth Rd Ste 201-N
Greenacres, FL 33463-3204

Phone

(561) 629-5924

NPI assigned

Sep 17, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Kimberly SandersNPI 1174022321

Title

Owner

Phone

(786) 897-2702

Specialties & licenses 2

Addresses

Locations

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.

• Kimberly N Sanders

  • Home Health Agency
  • Coral Springs, FL
  • NPI 1174022321
  NPD Authorized official

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1275203432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 LAKE WORTH RD STE 201-N",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633204",
            "telephone_number": "561-629-5924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 LAKE WORTH RD STE 201-N",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633204",
            "telephone_number": "561-629-5924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JT'TAMA VITAL HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-897-2702",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Joseph
• Patrice Saul Joseph
• Paul Joseph, PA,
• Rose Mitha Joseph
• Stanley Joseph, PA
• Yasmine Julien, SA-C
• Janice Marian Mamauag Jumapao
• K a Comprehensive Medical and Psychiatric Services
• Ujjwala K Kalangi, M.D.
• Kristie J Kamps, RPT

• Home Health Agency in Greenacres, FL
• Providers in Greenacres, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.