Vital Wellness Healthcare, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1010318 Issued in IL

Legal business name

VITAL WELLNESS HEALTHCARE, INC.

Practice address

2621 Montega Dr Ste E
Springfield, IL 62704-7002

Phone

(312) 989-9260

Fax

(773) 345-4637

NPI assigned

Sep 5, 2018

Organization subpart

No

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

Authorized official

Name

Nelia Laurel- Ladlad

Title

Ceo

Phone

(773) 332-9568

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eduardo Julian Ladlad, M.D.

  • Obstetrics & Gynecology Physician
  • Glenview, IL
  • NPI 1336304583
  NPD

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1477035558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 HOWARD ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023735",
            "telephone_number": "773-332-9568",
            "fax_number": "773-345-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 MONTEGA DR STE E",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627047002",
            "telephone_number": "312-989-9260",
            "fax_number": "773-345-4637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2310 E Oakland Ave Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IL",
            "postal_code": "617015880",
            "country_code": "US",
            "telephone_number": "309-585-0415",
            "fax_number": "309-585-0475",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1717 Howard St",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602023735",
            "country_code": "US",
            "telephone_number": "773-332-9568",
            "fax_number": "773-345-4637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VITAL WELLNESS HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-05",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "LADLAD",
        "authorized_official_first_name": "NELIA",
        "authorized_official_middle_name": "LAUREL-",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-332-9568"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010318",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virtual Care Connect PLLC
• Visions LLC
• Patricia M Visnesky, M.D.
• Avinash Kashyap Viswanathan, M.D.
• Vital Life Lab Services LLC
• Vital Wellness Healthcare, Inc.
• Vital Wellness Home Health Inc.
• Maria Cristina Viteri Quincha, MD
• Molly-Jean Vits
• Korine G Vlahos, M.D.

• Home Health Agency in Springfield, IL
• Providers in Springfield, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.