Active NPI
NC-Vital Healthcare Inc.
- Home Health Agency
- Garland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 011866
- Legal business name
- NC-VITAL HEALTHCARE INC.
- Practice address
- 337 Oaks TRL
Suite 105
Garland, TX 75043-4096 - Phone
- (214) 484-3163
- Fax
- (214) 484-3257
- NPI assigned
- Aug 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Vivian Elegonye, RN
- Title
- Administrator
- Phone
- (214) 437-9530
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 011866 | TX | Primary |
Addresses
Primary practice location
337 Oaks TRL
Suite 105
Garland, TX 75043-4096
Mailing address
337 Oaks TRL
Suite 105
Garland, TX 75043-4096
Phone (214) 484-3163
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryLocations
2824 Terrell Rd
Ste 202
Greenville, TX 75402
Phone (469) 826-9812
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Oct 3, 2016 | Change of Ownership | Family First Home Health LLC |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Dallas, TX
- NPI 1144411588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412812800000",
"number": "1407048291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "337 OAKS TRL",
"address_2": "SUITE 105",
"city": "GARLAND",
"state": "TX",
"postal_code": "750434096",
"telephone_number": "214-484-3163",
"fax_number": "214-484-3257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "337 OAKS TRL",
"address_2": "SUITE 105",
"city": "GARLAND",
"state": "TX",
"postal_code": "750434096",
"telephone_number": "214-484-3163",
"fax_number": "214-484-3257"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NC-VITAL HEALTHCARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-15",
"last_updated": "2014-10-09",
"status": "A",
"authorized_official_last_name": "ELEGONYE",
"authorized_official_first_name": "VIVIAN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "214-437-9530",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "011866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.