Vitabridge Support Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

VITABRIDGE SUPPORT SERVICES LLC

Practice address

311 22ND St NE
Cedar Rapids, IA 52402-6314

Phone

(319) 206-1082

NPI assigned

Sep 18, 2026

Last updated

Sep 18, 2026By 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

Ms. Kossiwa Eugenie Gnadjro

Title

Owner

Phone

(319) 206-1082

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1789689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1326950122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 22ND ST NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524026314",
            "telephone_number": "319-206-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 22ND ST NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524026314",
            "telephone_number": "319-206-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITABRIDGE SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-18",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "GNADJRO",
        "authorized_official_first_name": "KOSSIWA",
        "authorized_official_middle_name": "EUGENIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-206-1082",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "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 Sep 18, 2026; 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.