Provider Demographics
NPI:1447135629
Name:VITALCARE HOME HEALTH SERVICES LLC
Entity type:Organization
Organization Name:VITALCARE HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SEQUITA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSE-MASSEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:317-662-0028
Mailing Address - Street 1:2346 S LYNHURST DR STE B105D
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46241-8622
Mailing Address - Country:US
Mailing Address - Phone:317-662-0028
Mailing Address - Fax:
Practice Address - Street 1:2346 S LYNHURST DR STE B105D
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46241-8622
Practice Address - Country:US
Practice Address - Phone:317-662-0028
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care