Vital Wellness Healthcare, Inc.

LBN: Vital Wellness Healthcare, Inc.
Vital Wellness Healthcare, Inc. is an health care organization with primary practice located at 2621 Montega Dr Ste E , Springfield IL 62704-7002. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Vital Wellness Healthcare, Inc. can be contacted via phone (312) 989-9260, or through Ladlad, Nelia Laurel- via phone (773) 332-9568.

Contact Information

Primary practice address
2621 Montega Dr Ste E Springfield IL 62704-7002
Phone: (312) 989-9260
Fax: (773) 345-4637
Website:
Map and Directions
Authorized official contact:
Name: Ladlad, Nelia Laurel-
Phone: (773) 332-9568

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 1010318 Illinois

Profile Details

NPI number 1477035558
LBN Legal business name Vital Wellness Healthcare, Inc.
DBA Doing business as
Authorized official Ladlad, Nelia Laurel-
Entity Organization
Organization subpart 1 No
Enumeration date Sep 5th, 2018
Last updated Jun 11th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1477035558 NPPES
Illinois MEDICAID 1010318

Popular Providers