Organization Active NPI

Vital Homecare LLC.

  • In Home Supportive Care Agency
  • Waterbury, CT
National Provider Identifier
1811572209
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
VITAL HOMECARE LLC.
Doing business as
Vital Homecare LLC.
Practice address
41 Courtland Ave
Waterbury, CT 06705-2411
Phone
(203) 982-8431
NPI assigned
Mar 17, 2021
Last updated
Mar 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Authorized official

Name
Ms. Kelly-Ann L Henley
Title
Owner
Phone
(203) 982-8431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

41 Courtland Ave
Waterbury, CT 06705-2411

Mailing address

41 Courtland Ave
Waterbury, CT 06705-2411
Phone (203) 982-8431

Other names 1

  • Vital Homecare LLC. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1811572209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 COURTLAND AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067052411",
            "telephone_number": "203-982-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 COURTLAND AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067052411",
            "telephone_number": "203-982-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL HOMECARE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "HENLEY",
        "authorized_official_first_name": "KELLY-ANN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-982-8431",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Homecare LLC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vital Homecare LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.