Organization Active NPI

Vitality Home Care Inc.

  • Home Health Agency
  • Southfield, MI
National Provider Identifier
1629396957
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VITALITY HOME CARE INC.
Practice address
24123 Greenfield Rd Ste 211
Southfield, MI 48075-3140
Phone
(248) 957-9045
Fax
(248) 957-9550
NPI assigned
May 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Authorized official

Name
Mr. Sidney Morey Fordonski
Title
President
Phone
(248) 957-9045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

24123 Greenfield Rd Ste 211
Southfield, MI 48075-3140

Mailing address

24123 Greenfield Rd Ste 211
Southfield, MI 48075-3140
Phone (248) 957-9045

National Provider Directory

National Provider Directory

Locations

24945 W Warren St
Ste 100
Dearborn Heights, MI 48127

24945 W Warren St
#100
Dearborn Heights, MI 48127
Phone (313) 914-7468

161 Merriman Rd
Garden City, MI 48135
Phone (313) 914-7468

NPI Registry JSON

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627862400000",
    "number": "1629396957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24123 GREENFIELD RD STE 211",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753140",
            "telephone_number": "248-957-9045",
            "fax_number": "248-957-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24123 GREENFIELD RD STE 211",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753140",
            "telephone_number": "248-957-9045",
            "fax_number": "248-957-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A",
        "authorized_official_last_name": "FORDONSKI",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_middle_name": "MOREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-957-9045",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.