Organization Active NPI

Vital Care Home Health, Inc.

  • Home Health Agency
  • San Bernardino, CA
National Provider Identifier
1679803522
Registry record updated Dec 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VITAL CARE HOME HEALTH, INC.
Practice address
2130 N Arrowhead Ave
103C
San Bernardino, CA 92405-4023
Phone
(909) 882-0101
Fax
(909) 882-0202
NPI assigned
Dec 28, 2009
Last updated
Dec 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2009

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

Authorized official

Name
Mrs. Carla K. Sullivan
Title
Administrator Designee
Phone
(909) 496-7710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

2130 N Arrowhead Ave
103C
San Bernardino, CA 92405-4023

Mailing address

2130 N Arrowhead Ave
103C
San Bernardino, CA 92405-4023
Phone (909) 882-0101

National Provider Directory

National Provider Directory

Locations

2130 N Arrowhead Ave
#103C
San Bernardino, CA 92405
Phone (909) 882-0101

NPI Registry JSON

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1679803522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 N ARROWHEAD AVE",
            "address_2": "103C",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924054023",
            "telephone_number": "909-882-0101",
            "fax_number": "909-882-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 N ARROWHEAD AVE",
            "address_2": "103C",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924054023",
            "telephone_number": "909-882-0101",
            "fax_number": "909-882-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL CARE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-28",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "ADMINISTRATOR DESIGNEE",
        "authorized_official_telephone_number": "909-496-7710",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; 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.