Vital Support Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

VITAL SUPPORT HOME HEALTH CARE LLC

Practice address

2601 Little Elm Pkwy Ste 1502
Little Elm, TX 75068-2503

Phone

(972) 245-2270

Fax

(972) 245-2271

NPI assigned

Jun 4, 2021

Organization subpart

No

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

Authorized official

Name

Madina Hasson

Title

Administraor

Phone

(972) 245-2270

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 748057

Legal name

VITAL SUPPORT HOME HEALTH CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 4, 2022

Last certification

Sep 15, 2022

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Jun 21, 2021 in TX

Enrollment address

2601 Little Elm Pkwy
Ste 1502
Little Elm, TX 75068-2503
HHA Branch

Listed as

Vital Support Home Health Care LLCCCN 748057

Overall star rating

1.5 of 5

Ownership

Proprietary

Certified

Oct 4, 2022

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.

Affiliated clinicians 2

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

• Alla H Al-Habib, MD

  • Neurology Physician
  • Plano, TX
  • NPI 1588900096

  Home health agency

  Care Compare affiliation
• Stephanie Georgoudiou, ARNP

  • Nurse Practitioner
  • Dallas, TX
  • NPI 1477927390

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1992372460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 LITTLE ELM PKWY STE 1502",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750682503",
            "telephone_number": "972-245-2270",
            "fax_number": "972-245-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 LITTLE ELM PKWY STE 1502",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750682503",
            "telephone_number": "972-245-2270",
            "fax_number": "972-245-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL SUPPORT HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-04",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "HASSON",
        "authorized_official_first_name": "MADINA",
        "authorized_official_title_or_position": "ADMINISTRAOR",
        "authorized_official_telephone_number": "972-245-2270"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misty Vance
• Vicare Health Services LLC
• Vision Care Group of Texas, PLLC
• Visionary Eye Care PLLC
• Vista Rehab Partners, LP
• Vitality Chiropractic and Wellness
• Jasmine Wade
• Haneen Wadi
• Peter Ezzat Wahba, MD
• Walgreen Co

• Home Health Agency in Little Elm, TX
• Providers in Little Elm, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.