Provider Demographics
NPI:1447146717
Name:VITAL HEALTH CARE SERVICES LLC
Entity type:Organization
Organization Name:VITAL HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:
Authorized Official - First Name:MARIAMA
Authorized Official - Middle Name:
Authorized Official - Last Name:SWARRAY-DEEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-758-9077
Mailing Address - Street 1:16832 WINSTON LN
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-5105
Mailing Address - Country:US
Mailing Address - Phone:571-758-9077
Mailing Address - Fax:
Practice Address - Street 1:16832 WINSTON LN
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-5105
Practice Address - Country:US
Practice Address - Phone:571-758-9077
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-14
Last Update Date:2025-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care