Organization Active NPI

Vital Home & Healthcare, Inc

  • Home Health Agency
  • Tinley Park, IL
National Provider Identifier
1801992938
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1007087 Issued in IL
Legal business name
VITAL HOME & HEALTHCARE, INC
Practice address
8051 186TH St
Suite a
Tinley Park, IL 60477-9341
Phone
(708) 342-7076
Fax
(708) 342-7083
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Asif A Sayeed
Title
President Ceo
Phone
(708) 342-7076

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1007087 IL Primary
Home Health Agency 251E00000X 002870 IN

Addresses

Primary practice location

8051 186TH St
Suite a
Tinley Park, IL 60477-9341

Mailing address

8051 186TH St
Suite a
Tinley Park, IL 60477-9341
Phone (708) 342-7076

Other identifiers 1

IdentifierTypeStateIssuer
9953OtherILBLUECROSSBLUESHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051025000860 IL Part A Provider - Home Health Agency 8527085935 Practice locations: Tinley Park, IL

Home health agency certification: CCN 147602

Legal name
VITAL HOME & HEALTHCARE, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 17, 1995
Last certification
May 21, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 29, 1994 in IL
Enrollment address
8051 186TH St
Ste a
Tinley Park, IL 60487-9342

Care Compare: Home health agency

Medicare Care Compare
Listed as
Vital Home & Healthcare Inc.CCN 147602 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Feb 17, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0893910Vital Home and Healthcare Inc8051 W 186TH Street, Suite a, Tinley Park, IL 60477Certificate of waiverOct 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Vital Home Healthcare Inc2 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.

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Asif Sayeed Individual 5% Or Greater Direct Ownership Interest Sep 4, 2003 99.95%
Asim Farooqi Individual W-2 Managing Employee Jan 6, 2016

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801992938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8051 186TH ST",
            "address_2": "SUITE A",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604779341",
            "telephone_number": "708-342-7076",
            "fax_number": "708-342-7083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8051 186TH ST",
            "address_2": "SUITE A",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604779341",
            "telephone_number": "708-342-7076",
            "fax_number": "708-342-7083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL HOME & HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAYEED",
        "authorized_official_first_name": "ASIF",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "708-342-7076",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1007087",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "002870",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "9953",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

Verify at the official NPI Registry.