Active NPI
Vitahealth Home Care Inc
- Home Health Agency
- Oldsmar, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- VITAHEALTH HOME CARE INC
- Practice address
- 3980 Tampa Rd Ste 205M
Oldsmar, FL 34677-3223 - Phone
- (727) 440-4212
- Fax
- (727) 477-1746
- NPI assigned
- May 9, 2023
- 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
- Massiel Rodriguez
- Title
- Don/Owner
- Phone
- (813) 808-6614
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
3980 Tampa Rd Ste 205M
Oldsmar, FL 34677-3223
Mailing address
3980 Tampa Rd Ste 205M
Oldsmar, FL 34677-3223
Phone (727) 440-4212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240119001324 | FL | Part A Provider - Home Health Agency | 6305298936 | Practice locations: Oldsmar, FL |
Home health agency certification: CCN 687331
- Legal name
- VITAHEALTH HOME CARE INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- May 22, 2024
- Last certification
- May 9, 2024
- Organization structure
- Corporation
- Incorporated
- Apr 26, 2023 in FL
- Enrollment address
- 3980 Tampa Rd
Ste 205M
Oldsmar, FL 34677-3223
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Vitahealth Home Care Inc
- Ownership
- -
- Certified
- May 22, 2024
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2291589 | Vitahealth Home Care Inc | Certificate of waiver | Oct 11, 2027 |
National Provider Directory
National Provider DirectoryLocations
3980 Tampa Rd
Ste 205M
Oldsmar, FL 34677
Phone (727) 440-4212
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Massiel Rodriguez Cruz | Contracted Managing Employee | Apr 26, 2023 | 100% |
| 5% Or Greater Direct Ownership Interest | Apr 27, 2023 | 100% | |
| Corporate Officer | Apr 26, 2023 | 100% | |
| Corporate Director | Apr 26, 2023 | 100% | |
| W-2 Managing Employee | Apr 26, 2023 | 100% | |
| Operational/Managerial Control | Apr 26, 2023 | 100% |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Tampa, FL
- NPI 1912756594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683590400000",
"number": "1649960055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3980 TAMPA RD STE 205M",
"city": "OLDSMAR",
"state": "FL",
"postal_code": "346773223",
"telephone_number": "727-440-4212",
"fax_number": "727-477-1746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3980 TAMPA RD STE 205M",
"city": "OLDSMAR",
"state": "FL",
"postal_code": "346773223",
"telephone_number": "727-440-4212",
"fax_number": "727-477-1746"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITAHEALTH HOME CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-09",
"last_updated": "2023-05-09",
"certification_date": "2023-05-09",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "MASSIEL",
"authorized_official_title_or_position": "DON/OWNER",
"authorized_official_telephone_number": "813-808-6614"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oldsmar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.