Vibrant SCL, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

VIBRANT SCL, LLC

Practice address

1776 22ND St Ste 201
West Des Moines, IA 50266-1444

Phone

(515) 423-9752

Fax

(515) 465-1233

NPI assigned

Jun 5, 2020

Organization subpart

No

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

Authorized official

Name

Kit Tyhe Baloun

Title

Co-Founder & Ceo

Phone

(515) 423-9752

Specialties & licenses 1

Addresses

Other names 1

• Vibrant SCL, LLC Former legal business name

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1043834914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 22ND ST STE 201",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661444",
            "telephone_number": "515-423-9752",
            "fax_number": "515-465-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 22ND ST STE 201",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661444",
            "telephone_number": "515-423-9752",
            "fax_number": "515-465-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANT SCL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-05",
        "last_updated": "2023-11-27",
        "certification_date": "2020-06-05",
        "status": "A",
        "authorized_official_last_name": "BALOUN",
        "authorized_official_first_name": "KIT",
        "authorized_official_middle_name": "TYHE",
        "authorized_official_title_or_position": "CO-FOUNDER & CEO",
        "authorized_official_telephone_number": "515-423-9752"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbaloun@vibrant-llc.com",
            "affiliation": "Y",
            "endpointDescription": "Email address",
            "affiliationName": "Vibrant, LLC",
            "address_1": "1776 22nd St Ste 202",
            "city": "West Des Moines",
            "state": "IA",
            "country_code": "US",
            "postal_code": "502661444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Vibrant SCL, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.