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General NPI Number Information
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NPI Number | 1144828831
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Entity Type | Organization
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Legal Business Name | VITAL HOMECARE, INC.
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Dates
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Enumeration Date | 10/14/2020
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 16165 NORTH 83RD AVENUE SUITE 200, UNIT 212
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City | PEORIA
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State | AZ
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Zip | 85382-5816
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Country | US
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Telephone | 480-281-9096
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Fax | 480-780-0077
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Provider Business Mailing Address
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Address Line | 16165 N. 83RD AVE SUITE 200 UNIT 212
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City | PEORIA
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State | AZ
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Zip | 85382-3424
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Country | US
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Telephone | 480-281-9096
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Fax | 480-780-0077
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Authorized Official
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Title or Position | CEO
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Name | ALEX ARUTUNYAN
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Credential | RN
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Telephone | 480-281-9096
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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