Organization Active NPI

Spectrum Community Health Inc

Doing business as Vitality at Home

  • Home Health Agency
  • Virginia, MN
National Provider Identifier
1881767069
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
334658 Issued in MN
Legal business name
SPECTRUM COMMUNITY HEALTH INC
Doing business as
Vitality at Home
Practice address
418 9TH St S
Virginia, MN 55792-2838
Phone
(218) 741-3013
NPI assigned
Nov 16, 2006
Last updated
Jul 31, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Authorized official

Name
Heather Potter
Title
Vice President of Operations
Phone
(218) 927-2164

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 334658 MN Primary
Assisted Living Facility 310400000X 313695 MN

Addresses

Primary practice location

418 9TH St S
Virginia, MN 55792-2838

Mailing address

850 2ND St NW
Aitkin, MN 56431-1140
Phone (218) 260-2301

Other identifiers 13

IdentifierTypeStateIssuer
109875OtherMNUCARE
151101OtherMNPRIME WEST
751355100MedicaidMN
8X73SPOtherMNBCBS
5900097OtherMNMEDICA - GRAND RAPIDS
120015OtherMNFIRST PLAN
5900099OtherMNMEDICA - ROCHESTER
109875OtherMNUCARE OR SOUTH COUNTRY
5900095OtherMNMEDICA - DULUTH
5900100OtherMNMEDICA - MINNEAPOLIS
5900101OtherMNMEDICA - EVELETH
5900096OtherMNMEDICA - FAIRIBAULT
5900098OtherMNMEDICA - WILLMAR

Other names 1

  • Vitality at Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050922000043 MN Part A Provider - Home Health Agency 2567492762 Practice locations: Inver Grove Heights, MN; Saint Cloud, MN; Virginia, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881767069. Details of each certification follow.

Home health agency certification: CCN 247127

Legal name
SPECTRUM COMMUNITY HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 27, 1983
Last certification
Feb 28, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 1, 1982 in MN
Enrollment address
6205 Crossman LN
Inver Grove Heights, MN 55076-1851

Care Compare: Home health agency

Medicare Care Compare
Listed as
Spectrum Community Health IncCCN 247127 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jan 27, 1983
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, 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
24D0885032Spectrum Community Health, Inc6205 Crossman Lane, Inver Grove Heights, MN 55076Certificate of waiverApr 13, 2028

National Provider Directory

National Provider Directory

Locations

2723 Oak St
Brainerd, MN 56401
Phone (218) 829-8622

2820 Piedmont Ave
Ste D
Duluth, MN 55811
Phone (218) 722-6377

2000 Siegel Blvd
Eveleth, MN 55734
Phone (218) 741-3013

211 1st Ave NW
Faribault, MN 55021
Phone (507) 332-7471

423 NE 4th St
Ste 7
Grand Rapids, MN 55744
Phone (218) 326-4202

4891 Miller Trunk Hwy
Ste 104
Hermantown, MN 55811
Phone (218) 302-1966

1530 Greenview Dr SW
Ste 102
Rochester, MN 55902
Phone (507) 282-8052

1831 24th St NW
Rochester, MN 55901
Phone (507) 282-8052

1225 E Division St
#207
Saint Cloud, MN 56304
Phone (507) 282-8052

22 Wilson Ave NE
Ste 204
Saint Cloud, MN 56304
Phone (317) 801-4115

1025 19th Ave SW
Ste 2
Willmar, MN 56201
Phone (320) 235-5684

1415 1st St S
Ste 1C
Willmar, MN 56201
Phone (320) 235-5684

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Heather Potter Individual Operational/Managerial ControlVice President Sep 1, 2025
Vitality Senior Services, Inc Organization, Aitkin, MN Created for acquisition, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 1, 2025 100%
Tyler Hoemberg Individual 5% Or Greater Indirect Ownership InterestOwner Sep 1, 2025 100%
Corporate OfficerOwner Sep 1, 2025 100%

Practitioners & affiliated clinicians

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1881767069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 2ND ST NW",
            "city": "AITKIN",
            "state": "MN",
            "postal_code": "564311140",
            "telephone_number": "218-260-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 9TH ST S",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557922838",
            "telephone_number": "218-741-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM COMMUNITY HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "218-927-2164"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "334658",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "313695",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "109875",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIME WEST",
            "identifier": "151101",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "751355100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8X73SP",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA - GRAND RAPIDS",
            "identifier": "5900097",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PLAN",
            "identifier": "120015",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA - ROCHESTER",
            "identifier": "5900099",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE OR SOUTH COUNTRY",
            "identifier": "109875",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA - DULUTH",
            "identifier": "5900095",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA - MINNEAPOLIS",
            "identifier": "5900100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA - EVELETH",
            "identifier": "5900101",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA - FAIRIBAULT",
            "identifier": "5900096",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA - WILLMAR",
            "identifier": "5900098",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vitality at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia, MN

Sources for this page

Verify at the official NPI Registry.