NPI 1124833900

Vital Source Home Care Providers LLC

Organisation Adult Companion Detroit, MI

Practice location

Address: 18945 Fielding St, Detroit, MI 48219-2511
Phone: (313) 492-9437
Mailing address: 1401 W Fort St Unit 441846, Detroit, MI 48244-3575

Authorised official

Name: Damita Collette Johnson
Title: Manager
Phone: (313) 492-9437

Registered specialties (7)

Adult Companion Primary

Nursing Service Related Providers Taxonomy 372600000X

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Pastoral Counselor

Behavioral Health & Social Service Providers Taxonomy 101YP1600X

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Home Health Agency

Agencies Taxonomy 251E00000X

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In Home Supportive Care Agency

Agencies Taxonomy 253Z00000X

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Non-emergency Medical Transport (VAN)

Transportation Services Taxonomy 343900000X

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Private Vehicle

Transportation Services Taxonomy 347C00000X

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Home Health Aide

Nursing Service Related Providers Taxonomy 374U00000X

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Registry record

NPI: 1124833900
Entity type: Organization
NPI issued: 10 Feb 2025
Record last updated: 18 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.