Active NPI
Vitalis Home Health LLC
- Home Health Agency
- Dallas, TX
National Provider Identifier
1699214569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 015415
- Legal business name
- VITALIS HOME HEALTH LLC
- Practice address
- 9821 Summerwood Cir Apt 1308
Dallas, TX 75243 - Phone
- (202) 390-6884
- Fax
- (972) 476-0870
- NPI assigned
- Feb 13, 2017
- 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
- Mr. Desmond O Arrey
- Title
- Adminitrator
- Phone
- (202) 390-6884
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 015415 | TX | Primary |
Addresses
Primary practice location
9821 Summerwood Cir Apt 1308
Dallas, TX 75243
Mailing address
9821 Summerwood Cir Apt 1308
Dallas, TX 75243-7742
Phone (202) 390-6884
National Provider Directory
National Provider Directory- Tax ID family
- Vitalis Home Health LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Personal Care Attendant
- Dallas, TX
- NPI 1669726196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1486944000000",
"number": "1699214569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9821 SUMMERWOOD CIR APT 1308",
"city": "DALLAS",
"state": "TX",
"postal_code": "752437742",
"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": "9821 SUMMERWOOD CIR APT 1308",
"city": "DALLAS",
"state": "TX",
"postal_code": "75243",
"telephone_number": "202-390-6884",
"fax_number": "972-476-0870"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITALIS HOME HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-13",
"last_updated": "2017-02-13",
"status": "A",
"authorized_official_last_name": "ARREY",
"authorized_official_first_name": "DESMOND",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "ADMINITRATOR",
"authorized_official_telephone_number": "202-390-6884",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "015415",
"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 Feb 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.