VITAL WELLNESS HOME HEALTH INC.


Address: 2681 Montega Dr., Suite E, Springfield, IL 60704
Phone: 2177171909

VITAL WELLNESS HOME HEALTH INC. (NPI# 1467937243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467937243
Entity Type Organization
Organization Name VITAL WELLNESS HOME HEALTH INC.
Practice Address 2681 Montega Dr.
Suite E
Springfield
IL 60704
Mailing Address 1717 Howard St
Evanston
IL 60202-3735
Practice Telephone 2177171909
Practice Fax Number 2177171957
Mailing Telephone 1773339568
Mailing Fax Number 7733454637
Enumeration Date 2018-09-27
Last Update Date 2018-09-27
Authorized Official Name NELIA LAUREL- LADLAD (CEO)
Authorized Official Telephone 7733329568
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251J00000X Nursing Care Agencies
N 253Z00000X In Home Supportive Care Agencies
Y 251E00000X Home Health Agencies

Office Location

Street Address 2681 MONTEGA DR.
SUITE E
City SPRINGFIELD
State IL
Zip Code 60704

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

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Competitor

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City SPRINGFIELD
Zip Code 60704

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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