Vital Home Health Care, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

VITAL HOME HEALTH CARE, INC

Practice address

2500 E Foothill Blvd
Ste. 501
Pasadena, CA 91107-3464

Phone

(626) 432-6650

Fax

(626) 432-6653

NPI assigned

Aug 22, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Elsa V. Lim, RN

Title

Ceo/ Administrator

Phone

(626) 432-6650

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Vital Home Health Care . Inc Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 557423

Legal name

VITAL HOME HEALTH CARE, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 3, 1994

Last certification

Dec 10, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Feb 23, 1994 in CA

Enrollment address

221 E Walnut St
Ste 248
Pasadena, CA 91101-1554

Listed as

Vital Home Health CareCCN 557423

Ownership

Proprietary

Certified

Aug 3, 1994

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

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

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528050846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E FOOTHILL BLVD",
            "address_2": "STE. 501",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073464",
            "telephone_number": "626-432-6650",
            "fax_number": "626-432-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E FOOTHILL BLVD",
            "address_2": "STE. 501",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073464",
            "telephone_number": "626-432-6650",
            "fax_number": "626-432-6653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL HOME HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "ELSA",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "CEO/ ADMINISTRATOR",
        "authorized_official_telephone_number": "626-432-6650",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA57423F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Home Health Care . Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Home Health Agency in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.