Organization Active NPI

Vita, LLC

  • Home Health Agency
  • Chesterfield, MO
National Provider Identifier
1316229479
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VITA, LLC
Practice address
13990 Olive Blvd Ste 203-2
Chesterfield, MO 63017-2639
Phone
(314) 275-4020
Fax
(314) 275-4020
NPI assigned
Sep 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Authorized official

Name
Anzhela Volcheck, RN
Title
Administrator
Phone
(314) 322-6696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

13990 Olive Blvd Ste 203-2
Chesterfield, MO 63017-2639

Mailing address

13990 Olive Blvd Ste 203-2
Chesterfield, MO 63017-2639
Phone (314) 275-4020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120130000628 MO Part A Provider - Home Health Agency 7517124894 Practice locations: Chesterfield, MO

Home health agency certification: CCN 267640

Legal name
VITA, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 2, 2013
Last certification
Feb 26, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
May 4, 2009 in MO
Enrollment address
13990 Olive Blvd
Ste 102B
Chesterfield, MO 63017-2639

Care Compare: Home health agency

Medicare Care Compare
Listed as
Vita LLCCCN 267640 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Jan 2, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2059508Vita LLC13990 Olive Blvd Suite 102B, Chesterfield, MO 63017Certificate of waiverMay 22, 2027

National Provider Directory

National Provider Directory

Locations

14224 Ladue Rd
Chesterfield, MO 63017
Phone (314) 275-4020

13990 Olive Blvd
Ste 102B
Chesterfield, MO 63017
Phone (314) 275-4020

13990 Olive Blvd
Ste 106B
Chesterfield, MO 63017

13990 Olive Blvd
#2032
Chesterfield, MO 63017
Phone (314) 275-4020

13990 Olive Blvd
Ste 2032
Chesterfield, MO 63017
Phone (314) 275-4020

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Aleksandr Levin Individual 5% Or Greater Direct Ownership InterestPresident Dec 5, 2017 50%
Corporate OfficerPresident Dec 5, 2017 50%
Anzhela Volchek Individual 5% Or Greater Direct Ownership InterestVice President Dec 5, 2017 50%
Corporate OfficerVice President Dec 5, 2017 50%
W-2 Managing EmployeeVice President Dec 5, 2017 50%

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1316229479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13990 OLIVE BLVD STE 203-2",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172639",
            "telephone_number": "314-275-4020",
            "fax_number": "314-275-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13990 OLIVE BLVD STE 203-2",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172639",
            "telephone_number": "314-275-4020",
            "fax_number": "314-275-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "VOLCHECK",
        "authorized_official_first_name": "ANZHELA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "314-322-6696",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.