Vitacare Health Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1010926 Issued in IL

Legal business name

VITACARE HEALTH SERVICES, INC.

Practice address

4736 Main St Ste 8
Lisle, IL 60532-1986

Phone

(630) 324-6592

NPI assigned

Oct 23, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Adonis E. Paras, MBA

Title

President

Phone

(630) 324-6592

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Home health agency certification: CCN 148154

Legal name

VITACARE HEALTH SERVICES, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 17, 2010

Last certification

Mar 8, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Aug 2, 2007 in IL

Enrollment address

4736 S Main St
Ste # 8
Lisle, IL 60532-1986

Listed as

Vitacare Health Services, IncCCN 148154 · All quality measures

Ownership

Proprietary

Certified

Jun 17, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

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

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1962655886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4736 MAIN ST STE 8",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321986",
            "telephone_number": "630-324-6592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4736 MAIN ST STE 8",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321986",
            "telephone_number": "630-324-6592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITACARE HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "PARAS",
        "authorized_official_first_name": "ADONIS",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-324-6592",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Lisle, IL
• Providers in Lisle, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; 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.

Verify at the official NPI Registry.