14D0893910 CLIA NUMBER - VITAL HOME AND HEALTHCARE INC

Laboratory Demographics

CLIA Number: 14D0893910

Facility Name: VITAL HOME AND HEALTHCARE INC

Facility Address:
8051 W 186TH STREET, SUITE A
TINLEY PARK, IL
ZIP 60477
Get Directions

Facility Phone Number: 708 342-7076

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1215200407

Taxonomy: 251E00000X - Home Health
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.

CLIA Record

Field Name	Field Value
CLIA Number	14D0893910
LAB Type	Home Health Agency
Facility Name	VITAL HOME AND HEALTHCARE INC
Street	8051 W 186TH STREET, SUITE A
City	TINLEY PARK
State	IL
ZIP	60477
Phone	708 342-7076
CertificateType	4
CertificateEffectiveDate	11/1/2022
CertificateExpirationDate	10/31/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024