# VITAL WELLNESS HEALTHCARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vital Wellness Home Health, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982686861
- **Authorized official:** ALLAN DENNIS ROSALES (CLINICAL OPERATION EXECUTIVE)
- **Authorized official phone:** (312) 989-9260

## Contact information

- **Practice address:** 2621 MONTEGA DR STE E, SPRINGFIELD, IL 62704
- **Practice address phone:** (217) 717-1909
- **Practice address fax:** (217) 717-1957
- **Mailing address:** 1717 HOWARD ST, EVANSTON, IL 60202-3735
- **Mailing address phone:** (630) 369-8450
- **Mailing address fax:** (630) 369-6984

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1010318 | IL | Yes |

## Other

- **Enumeration date:** 11/16/2005
- **Last updated:** 10/03/2018