Provider Demographics
NPI:1962061465
Name:VITAL HOME CARE SERVICES, LLC
Entity type:Organization
Organization Name:VITAL HOME CARE SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:RN/DIRECTOR OF HEALTH SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:ISATU
Authorized Official - Middle Name:K
Authorized Official - Last Name:KAMARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-353-7529
Mailing Address - Street 1:228 W BALTIMORE AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON HEIGHTS
Mailing Address - State:PA
Mailing Address - Zip Code:19018-2101
Mailing Address - Country:US
Mailing Address - Phone:484-461-3897
Mailing Address - Fax:484-461-3897
Practice Address - Street 1:135 HIGH ST
Practice Address - Street 2:
Practice Address - City:SHARON HILL
Practice Address - State:PA
Practice Address - Zip Code:19079-2112
Practice Address - Country:US
Practice Address - Phone:267-353-7529
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-07
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty