MTM Vitalcare LLC

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

MTM VITALCARE LLC

Practice address

12124 Macaroon LN
Fort Worth, TX 76244-7531

Phone

(682) 248-4056

NPI assigned

Jul 18, 2025

Last updated

Jul 18, 2025By 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

Kafayat Adelekan

Title

Manager/Adminstrator

Phone

(682) 248-4056

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1752796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1932091493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12124 MACAROON LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762447531",
            "telephone_number": "682-248-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12124 MACAROON LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762447531",
            "telephone_number": "682-248-4056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTM VITALCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-18",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A",
        "authorized_official_last_name": "ADELEKAN",
        "authorized_official_first_name": "KAFAYAT",
        "authorized_official_title_or_position": "MANAGER/ADMINSTRATOR",
        "authorized_official_telephone_number": "682-248-4056"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Personal Care Attendant in Fort Worth, TX
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• Personal Care Attendant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.