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VITALITYHOME HEALTHCARE, LLC
NPI 1962974352
Home Health in Fairfax, VA

Active since December 22, 2018
4123 FOUNTAINSIDE LN, FAIRFAX, VA 22030(847) 346-9913 Get Directions Write a Review

NPPES record last updated: December 22, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vitalityhome Healthcare, Llc NPPES

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

VITALITYHOME HEALTHCARE, LLC (NPI 1962974352) is a healthcare organization registered as a home health in Fairfax, Virginia and active in the NPI registry since December 2018. The organization lists Roy Aguila, Director, as its authorized official.

NPPES Registry Identity

NPI1962974352
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameVITALITYHOME HEALTHCARE, LLC
Location Address4123 FOUNTAINSIDE LNFairfax, VA 22030-7402
Mailing Address4123 Fountainside LnFairfax, VA 22030-7402 · (847) 346-9913
Phone(847) 346-9913
Organization SubpartNo
Authorized OfficialRoy AguilaDirector · (847) 346-9907
Enumeration DateDecember 22, 2018
✔ NPI 1962974352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
4123 FOUNTAINSIDE LN, Fairfax, VA 22030
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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 Vitalityhome Healthcare, LLC's NPI number?

The NPI number for Vitalityhome Healthcare, LLC is 1962974352. It was assigned to this organization in the NPPES registry on December 22, 2018.

Where is Vitalityhome Healthcare, LLC located?

Vitalityhome Healthcare, LLC is located at 4123 Fountainside Ln, Fairfax, VA 22030. The listed phone number is (847) 346-9913.

What is Vitalityhome Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Vitalityhome Healthcare, LLC was last updated on December 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.