Organization
VITALITY HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESUSA PASINABO-GARDE RN (PRESIDENT/AGENCY SUPERVISOR)
(847) 378-8102
Entity
Organization
Contact information
Practice address
2025 S ARLINGTON HEIGHTS RD STE 113, ARLINGTON HEIGHTS, IL 60005-4141
(847) 378-8102
(847) 258-5158
Mailing address
2025 S ARLINGTON HEIGHTS RD STE 113, ARLINGTON HEIGHTS, IL 60005-4141
(847) 378-8102
(847) 258-5156
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1011732
IL
251E00000X
Home Health Agency
1921571
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1010963
STATE OF ILLINOIS DEPARTMENT OF PUBLIC HEALTH
IL
Enumeration date
04/11/2009
Last updated
02/22/2018
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