Healthcare Provider Details

I. General information

NPI: 1154245975
Provider Name (Legal Business Name): VITALNEST HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 N SEMORA BLVD STE 130
ORLANDO FL
32828
US

IV. Provider business mailing address

1300 N SEMORA BLVD STE 130
ORLANDO FL
32828
US

V. Phone/Fax

Practice location:
  • Phone: 407-369-4002
  • Fax: 407-214-9946
Mailing address:
  • Phone: 407-369-4002
  • Fax: 407-214-9946

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: YURAMI DIAZ CABRERA
Title or Position: OWNER, ADMINISTRATOR
Credential: RN
Phone: 407-369-4002