# VITALIZING CARE CONSULTANTS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vitalizing Care Consultants, VCC Care Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912413386
- **Authorized official:** SHOMARI MCCOY MBA (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (855) 455-2274

## Contact information

- **Practice address:** 1420 WASHINGTON BLVD STE 301, DETROIT, MI 48226
- **Practice address phone:** (855) 455-2274
- **Practice address fax:** (586) 314-0167
- **Mailing address:** PO BOX 180266, UTICA, MI 48318-0266
- **Mailing address phone:** (855) 455-2274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 163WC0400X | Case Management Registered Nurse | — | NULL | — |
| 163WC0400X | Case Management Registered Nurse | — | — | — |
| 163WH0200X | Home Health Registered Nurse | — | NULL | — |
| 163WH0200X | Home Health Registered Nurse | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |
| 172V00000X | Community Health Worker | — | NULL | — |
| 172V00000X | Community Health Worker | — | — | — |
| 174H00000X | Health Educator | — | NULL | — |
| 174H00000X | Health Educator | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 372600000X | Adult Companion | — | NULL | — |
| 372600000X | Adult Companion | — | — | — |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |

## Other

- **Enumeration date:** 12/21/2017
- **Last updated:** 01/12/2022