Organization Active NPI

Vita Home Health Care

  • In Home Supportive Care Agency
  • Aurora, CO
National Provider Identifier
1790401503
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Oct 13, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
20221583931MedicaidCO

Other names 1

  • Personal Care Agency Other name

National Provider Directory

National Provider Directory
Tax ID family
Personal Care Agency2 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

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.

Verify at the official NPI Registry.