Provider Demographics
NPI:1538782438
Name:VITALITY FIRST HOME HEALTH CARE
Entity type:Organization
Organization Name:VITALITY FIRST HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ORLENA
Authorized Official - Middle Name:M
Authorized Official - Last Name:KASTNING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-414-0818
Mailing Address - Street 1:5250 LANKERSHIM BLVD STE 540
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-3187
Mailing Address - Country:US
Mailing Address - Phone:818-414-0818
Mailing Address - Fax:
Practice Address - Street 1:5250 LANKERSHIM BLVD STE 540
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-3187
Practice Address - Country:US
Practice Address - Phone:818-414-0818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-26
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health