# VITAL CARE HOMECARE AGENCY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437902624
- **Authorized official:** SHIRELLE BROWN (ADMISTRATOR)
- **Authorized official phone:** (706) 350-3579

## Contact information

- **Practice address:** 314 GREENVILLE ST STE 4, LAGRANGE, GA 30241-3232
- **Practice address phone:** (706) 350-3579
- **Mailing address:** 1006 WHITESVILLE ST APT D414, LAGRANGE, GA 30240-5355
- **Mailing address phone:** (706) 350-3579

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 04/08/2024
- **Last updated:** 01/06/2025