Vitality 360 Health Care LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

VITALITY 360 HEALTH CARE LLC

Practice address

6018 Harford Rd
Baltimore, MD 21214-1327

Phone

(301) 996-4885

NPI assigned

Jun 21, 2023

Organization subpart

No

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

Authorized official

Name

Bilikisu OsmanNPI 1689213050

Title

President

Phone

(301) 996-4885

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bilikisu Osman, FNP-BC

  • Family Nurse Practitioner
  • District Heights, MD
  • NPI 1689213050
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1013692599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6018 HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212141327",
            "telephone_number": "301-996-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6018 HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212141327",
            "telephone_number": "301-996-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY 360 HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "OSMAN",
        "authorized_official_first_name": "BILIKISU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-996-4885"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vitae Health Medical Maryland LLC
• Vital Bloom Home Care LLC
• Vital Cure Primary Services LLC
• Vital Transit LLC
• Jessica Lauren Vitale, MD
• Vitality 360 Inc
• Vitality 360 of Baltimore at Providence
• Vitality Home Healthcare Associates, LLC
• Vitality NP Group
• Vitality Psychotherapy Services LLC

• Primary Care Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.