Vital Wellness Home Health, Inc.

LBN: Vital Wellness Healthcare, Inc.
Vital Wellness Home Health, Inc. is an health care organization with primary practice located at 2621 Montega Dr Ste E , Springfield IL 62704. 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 (217) 717-1909, or through Rosales, Allan Dennis via phone (312) 989-9260.

Contact Information

Primary practice address
2621 Montega Dr Ste E Springfield IL 62704
Phone: (217) 717-1909
Fax: (217) 717-1957
Website:
Map and Directions
Authorized official contact:
Name: Rosales, Allan Dennis
Phone: (312) 989-9260

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 1010318 Illinois

Profile Details

NPI number 1982686861
LBN Legal business name Vital Wellness Healthcare, Inc.
DBA Doing business as Vital Wellness Home Health, Inc.
Authorized official Rosales, Allan Dennis
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2005
Last updated Oct 3rd, 2018 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982686861 NPPES
Illinois MEDICAID 1982686861-001

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