Organization Active NPI

Vitahealth Home Care Inc

  • Home Health Agency
  • Oldsmar, FL
National Provider Identifier
1649960055
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on May 9, 2023

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
Incorporated
Apr 26, 2023 in FL
Enrollment address
3980 Tampa Rd
Ste 205M
Oldsmar, FL 34677-3223
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Vitahealth Home Care IncCCN 687331
Ownership
-
Certified
May 22, 2024
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2291589Vitahealth Home Care Inc3980 Tampa Rd - Ste 205M, Oldsmar, FL 34677Certificate of waiverOct 11, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Massiel Rodriguez Cruz Individual Contracted Managing EmployeeOwner Apr 26, 2023 100%
5% Or Greater Direct Ownership InterestOwner Apr 27, 2023 100%
Corporate OfficerOwner Apr 26, 2023 100%
Corporate DirectorOwner Apr 26, 2023 100%
W-2 Managing EmployeeOwner Apr 26, 2023 100%
Operational/Managerial ControlOwner 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.

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

Verify at the official NPI Registry.