Vitality Resort Alf LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

12786 Issued in FL

Legal business name

VITALITY RESORT ALF LLC

Practice address

11380 SW Hillcrest Cir
Port St Lucie, FL 34987-2704

Phone

(772) 207-7947

NPI assigned

Feb 7, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Christella DorvalNPI 1770988180

Title

Administrator

Phone

(772) 207-7947

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Christella Dorval

  • Adult Care Home Facility
  • Port St Lucie, FL
  • NPI 1770988180
  NPD (past) Authorized official
• Andre Dorval, RN

  • Registered Nurse
  • Port St Lucie, FL
  • NPI 1144688680
  NPD (past)

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

{
    "created_epoch": "1454803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454803200000",
    "number": "1033577978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1258 SW ERMINE AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349535006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11380 SW HILLCREST CIR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349872704",
            "telephone_number": "772-207-7947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY RESORT ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-07",
        "last_updated": "2016-02-07",
        "status": "A",
        "authorized_official_last_name": "DORVAL",
        "authorized_official_first_name": "CHRISTELLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "772-207-7947",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012975500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Visiting Care of Florida, Inc.
• Visiting Home Health Services, Inc
• Victoria J Vislocky, DC
• Vital Health Center LLC
• Vital Home Care LLC
• Vitality Spring Resort Alf LLC
• Vitality Star Resort Alf LLC
• Vivas Counseling Services, LLC
• Sarah A. Vogler, M.D.
• Chantal Volcy

• Assisted Living Facility in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.