Organization · Type 2 NPI

Vital Source Home Care Providers LLC

Adult Companion · Detroit, MI

NPI number 1124833900 Active

Practice location

18945 Fielding St
Detroit, MI 48219-2511

Mailing address

1401 W Fort St Unit 441846
Detroit, MI 48244-3575

Specialties and licenses

TaxonomyCodeLicense
Pastoral Counselor 101YP1600XNone listed
Home Health Agency 251E00000XNone listed
In Home Supportive Care Agency 253Z00000XNone listed
Non-emergency Medical Transport (VAN) 343900000XNone listed
Private Vehicle 347C00000XNone listed
Adult Companion Primary 372600000XNone listed
Home Health Aide 374U00000XNone listed

Adult Companion: 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.

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About NPI 1124833900

Vital Source Home Care Providers LLC's National Provider Identifier is 1124833900, issued on Feb 10, 2025. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Detroit, MI. The record was last updated on Feb 18, 2025.