Vital Healthcare Services Inc

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

VITAL HEALTHCARE SERVICES INC

Practice address

9141 S Kedzie Ave
Evergreen Park, IL 60805-1606

Phone

(630) 901-6009

Fax

(630) 333-4220

NPI assigned

Jul 29, 2020

Last updated

Jul 29, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jose Cortez

Title

Administrator

Phone

(630) 901-6009

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1861001455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9141 S KEDZIE AVE",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608051606",
            "telephone_number": "630-901-6009",
            "fax_number": "630-333-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9141 S KEDZIE AVE",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608051606",
            "telephone_number": "630-901-6009",
            "fax_number": "630-333-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "CORTEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "630-901-6009"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Village of Evergreen Park
• Dena Vincent, CRNA
• Visionworks Inc.
• Vital Care Hospice, LLC
• Vital Dental Care Inc
• Anita Vongluekiat, LPC
• Waddell Sports Rehab LLC
• Tiffany Claire Wakim Ghantous, MSN, APRN, FNP-C
• Wal-Mart Stores, Inc (Vision Center 30-5485)
• Walgreen Co (Walgreens #15635)

• Nursing Care Agency in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Nursing Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.