Active NPI
Spectrum Community Health Inc
Doing business as Vitality at Home
- Home Health Agency
- Virginia, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 334658
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109875 | Other | MN | UCARE |
| 151101 | Other | MN | PRIME WEST |
| 751355100 | Medicaid | MN | |
| 8X73SP | Other | MN | BCBS |
| 5900097 | Other | MN | MEDICA - GRAND RAPIDS |
| 120015 | Other | MN | FIRST PLAN |
| 5900099 | Other | MN | MEDICA - ROCHESTER |
| 109875 | Other | MN | UCARE OR SOUTH COUNTRY |
| 5900095 | Other | MN | MEDICA - DULUTH |
| 5900100 | Other | MN | MEDICA - MINNEAPOLIS |
| 5900101 | Other | MN | MEDICA - EVELETH |
| 5900096 | Other | MN | MEDICA - FAIRIBAULT |
| 5900098 | Other | MN | MEDICA - WILLMAR |
Other names 1
- Vitality at Home
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jan 27, 1983
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D0885032 | Spectrum Community Health, Inc | Certificate of waiver | Apr 13, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Heather Potter | Operational/Managerial Control | Sep 1, 2025 | |
| Vitality Senior Services, Inc | 5% Or Greater Direct Ownership Interest | Sep 1, 2025 | 100% |
| Tyler Hoemberg | 5% Or Greater Indirect Ownership Interest | Sep 1, 2025 | 100% |
| Corporate Officer | Sep 1, 2025 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 7
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Nurse Practitioner
- Duluth, MN
- NPI 1912770066
Home health agency
-
- Adult Health Nurse Practitioner
- Stillwater, MN
- NPI 1932655420
Home health agency
-
- Family Medicine Physician
- Aurora, MN
- NPI 1366549495
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.