Healthcare Provider Details

I. General information

NPI: 1437544392
Provider Name (Legal Business Name): VITALE HOME HEALTH & HOSPICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2015
Last Update Date: 03/31/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8549 WILSHIRE BLVD SUITE 813
BEVERLY HILLS CA
90211-3104
US

IV. Provider business mailing address

8549 WILSHIRE BLVD SUITE 813
BEVERLY HILLS CA
90211-3104
US

V. Phone/Fax

Practice location:
  • Phone: 310-896-5183
  • Fax:
Mailing address:
  • Phone: 310-896-5183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: RISHI KHATRI
Title or Position: CO-OWNER
Credential: JD
Phone: 310-896-5183