Healthcare Provider Details

I. General information

NPI: 1639637200
Provider Name (Legal Business Name): VITA HOME HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2019
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20695 S WESTERN AVE STE 240
TORRANCE CA
90501-1834
US

IV. Provider business mailing address

20695 S WESTERN AVE STE 240
TORRANCE CA
90501-1834
US

V. Phone/Fax

Practice location:
  • Phone: 323-451-7110
  • Fax: 323-238-4864
Mailing address:
  • Phone: 323-451-7110
  • Fax: 323-238-4864

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: SUSANE HANSON
Title or Position: CEO
Credential:
Phone: 323-451-7110