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Vital Wellness Healthcare, Inc.
Home Health Agency in Springfield, Illinois
NPI 1477035558

Vital Wellness Healthcare, Inc. is a Home Health Agency based in Evanston, IL. Vital Wellness Healthcare, Inc. practices in Springfield, IL. The NPI Number for Vital Wellness Healthcare, Inc. is 1477035558 and holds a License No. 1010318 (Illinois).

The current practice location address for Vital Wellness Healthcare, Inc. is 2621 Montega Dr Ste E, Springfield, IL and can be reached out via phone at 312-989-9260 and via fax at 773-345-4637.

Location: 2621 Montega Dr Ste E, Springfield, IL, 60202-3735
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477035558
Provider Name
Vital Wellness Healthcare, Inc.
Credential
Provider Entity Type
Organization
Address
2621 Montega Dr Ste E, Springfield, IL, 60202-3735
Phone Number
312-989-9260
Fax Number
773-345-4637
Provider Enumeration Date
09/05/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1010318 05 IL
institution
Provider Business Practice Location Address Details
Address
2621 Montega Dr Ste E
City
Springfield
State
Illinois
Zip
62704-7002
Phone Number
312-989-9260
Fax Number
773-345-4637
person
Provider Business Mailing Address Details
Address
2621 Montega Dr Ste E
City
Springfield
State
Illinois
Zip
62704-7002
Phone Number
312-989-9260
Fax Number
773-345-4637
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
1010318 (Illinois)
Definition
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.
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