Vitality Senior Services

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

VITALITY SENIOR SERVICES

Doing business as

The Mansion on Main

Practice address

1420 E Main St
New Albany, IN 47150-5730

Phone

(812) 914-1161

NPI assigned

Jan 10, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Todd Marsh

Title

Chief Operating Officer

Phone

(812) 914-1161

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Mansion on Main Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547078400000",
    "number": "1003389214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 E MAIN ST",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471505730",
            "telephone_number": "812-914-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 E MAIN ST",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471505730",
            "telephone_number": "812-914-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY SENIOR SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-10",
        "last_updated": "2019-01-10",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "812-914-1161"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300021098",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Mansion on Main",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in New Albany, IN
• Providers in New Albany, IN by specialty
• Assisted Living Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.