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VITAL SOURCE HOME CARE PROVIDERS LLC
NPI 1124833900
Adult Companion in Detroit, MI

Active since February 10, 2025
18945 FIELDING ST, DETROIT, MI 48219(313) 492-9437 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 18, 2025, Feb 10, 2025 (2 updates tracked since 2025).

About Vital Source Home Care Providers Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VITAL SOURCE HOME CARE PROVIDERS LLC (NPI 1124833900) is a healthcare organization registered as an adult companion in Detroit, Michigan and active in the NPI registry since February 2025. The organization lists Damita Collette Johnson, Manager, as its authorized official.

NPPES Registry Identity

NPI1124833900
Entity TypeOrganization
Primary Taxonomy372600000X
Legal Business NameVITAL SOURCE HOME CARE PROVIDERS LLC
Location Address18945 FIELDING STDetroit, MI 48219-2511
Mailing Address1401 W Fort St Unit 441846Detroit, MI 48244-3575 · (313) 492-9437
Phone(313) 492-9437
Organization SubpartNo
Authorized OfficialDamita Collette JohnsonManager · (313) 492-9437
Enumeration DateFebruary 10, 2025
Last NPPES UpdateFebruary 18, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2025
✔ NPI 1124833900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyAdult CompanionNursing Service Related Providers
Taxonomy Code372600000X
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
Also ListedCounselor · PastoralTaxonomy 101YP1600X
Also ListedHome HealthTaxonomy 251E00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
Also ListedPrivate VehicleTaxonomy 347C00000X
Also ListedHome Health AideTaxonomy 374U00000X
18945 FIELDING ST, Detroit, MI 48219
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Other Names 1

Other NameDamita Collette Johnson

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vital Source Home Care Providers LLC's NPI number?

The NPI number for Vital Source Home Care Providers LLC is 1124833900. It was assigned to this organization in the NPPES registry on February 10, 2025. The provider is also known as Damita Collette Johnson.

Where is Vital Source Home Care Providers LLC located?

Vital Source Home Care Providers LLC is located at 18945 Fielding St, Detroit, MI 48219. The listed phone number is (313) 492-9437.

What is Vital Source Home Care Providers LLC's specialty?

The primary specialty registered for this NPI is Adult Companion with taxonomy code 372600000X.

When was this NPI record last updated?

The NPPES record for Vital Source Home Care Providers LLC was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.