Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vital Source Ministry Enterprise

Organization Voluntary or Charitable Agency · NPI 1235950361

Vital Source Ministry Enterprise is a Voluntary or Charitable Agency in Detroit, Michigan. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3

Practice location Address checks out

1401 W Fort St Unit 441846
Detroit, MI 48244-3575
Phone: (313) 492-9437
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X
Voluntary or Charitable Agency Taxonomy 251V00000X
Private Vehicle Taxonomy 347C00000X

Record details

NPI number1235950361
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Damita Johnson — Administrator · (313) 492-9437
Other names Vital Source Providers
NPI enumeratedOctober 21, 2024
Last updated in NPPESOctober 28, 2024
Certification dateOctober 28, 2024
Mailing address1401 W Fort St Unit 441846, Detroit, MI 48244-3575

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