Active NPI
Vita Home Health Care
- In Home Supportive Care Agency
- Aurora, CO
National Provider Identifier
1790401503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- VITA HOME HEALTH CARE
- Practice address
- 14211 E 4TH Ave # 3-245
Aurora, CO 80011-8736 - Phone
- (701) 215-9232
- NPI assigned
- Oct 13, 2022
- 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
- Mowlid Mohamed
- Title
- Admin
- Phone
- (701) 215-9232
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
14211 E 4TH Ave # 3-245
Aurora, CO 80011-8736
Mailing address
14211 E 4TH Ave # 3-245
Aurora, CO 80011-8736
Phone (701) 215-9232
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20221583931 | Medicaid | CO |
Other names 1
- Personal Care Agency
National Provider Directory
National Provider Directory- Tax ID family
- Personal Care Agency
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Aurora, CO
- NPI 1992464127
Locations
14211 E 4th Ave
#3245
Aurora, CO 80011
Phone (701) 215-9232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665619200000",
"number": "1790401503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14211 E 4TH AVE # 3-245",
"city": "AURORA",
"state": "CO",
"postal_code": "800118736",
"telephone_number": "701-215-9232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14211 E 4TH AVE # 3-245",
"city": "AURORA",
"state": "CO",
"postal_code": "800118736",
"telephone_number": "701-215-9232"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITA HOME HEALTH CARE",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-13",
"last_updated": "2022-10-13",
"certification_date": "2022-10-06",
"status": "A",
"authorized_official_last_name": "MOHAMED",
"authorized_official_first_name": "MOWLID",
"authorized_official_title_or_position": "ADMIN",
"authorized_official_telephone_number": "701-215-9232"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20221583931",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Personal Care Agency",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.