Organization Active NPI

Vitalis Home Health LLC

  • Personal Care Attendant
  • Dallas, TX
National Provider Identifier
1669726196
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
VITALIS HOME HEALTH LLC
Practice address
9550 Forest LN Ste 309
Dallas, TX 75243-6060
Phone
(202) 390-6884
Fax
(972) 476-0870
NPI assigned
Nov 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Authorized official

Name
Mr. Desmond O Arrey
Title
President/Admin
Phone
(202) 390-6884

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

9550 Forest LN Ste 309
Dallas, TX 75243-6060

Mailing address

9550 Forest LN Ste 309
Dallas, TX 75243-6060
Phone (202) 390-6884

National Provider Directory

National Provider Directory
Tax ID family
Vitalis Home Health LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9550 Forest Ln
Ste 309
Dallas, TX 75243
Phone (202) 390-6884

NPI Registry JSON

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1669726196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9550 FOREST LN STE 309",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752436060",
            "telephone_number": "202-390-6884",
            "fax_number": "972-476-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 FOREST LN STE 309",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752436060",
            "telephone_number": "202-390-6884",
            "fax_number": "972-476-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALIS HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "ARREY",
        "authorized_official_first_name": "DESMOND",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT/ADMIN",
        "authorized_official_telephone_number": "202-390-6884",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.