VITAL HEALTHCARE LLC. NPI 1700979291

NPI Information

NPI: 1700979291
Provider Name: VITAL HEALTHCARE, LLC.
Classification: Registered Nurse - 163WH0200X
Entity Type: Organization

Specialization: Home Health

Address:
5936 W. MONTROSE AVE
CHICAGO, IL
ZIP 60634
Phone: (773) 326-6848
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VITAL HEALTHCARE, LLC. is a home health registered nurse in Chicago, IL. VITAL HEALTHCARE, LLC. NPI is 1700979291. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5936 W. MONTROSE AVE
CHICAGO, IL
ZIP 60634-628
Phone: (773) 326-6848
Fax: (773) 202-0208

The provider's authorized official is Lucia Sygaco .
The authorized official title is President and has the following contact phone number (773) 908-9360.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WH0200X	Registered Nurse	Home Health	1010487	ILLINOIS	Yes
2	251E00000X	Home Health		1616835	ILLINOIS	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1010487	OTHER	ILLINOIS	PUBLIC HEALTH LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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