Organization Active NPI

Vivalife, Inc.

  • Home Health Agency
  • Miami, FL
National Provider Identifier
1063736197
Registry record updated Mar 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1183 Issued in FL
Legal business name
VIVALIFE, INC.
Practice address
1830 NW 7TH St
#218
Miami, FL 33125-3569
Phone
(786) 360-5655
Fax
(786) 360-5372
NPI assigned
Mar 18, 2010
Last updated
Mar 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2010

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

Authorized official

Name
Ms. Renee P Douthat
Title
Director
Phone
(786) 709-7912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1183 FL Primary

Addresses

Primary practice location

1830 NW 7TH St
#218
Miami, FL 33125-3569

Mailing address

1830 NW 7TH St
#218
Miami, FL 33125-3569
Phone (786) 360-5655

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268870400000",
    "number": "1063736197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 NW 7TH ST",
            "address_2": "#218",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253569",
            "telephone_number": "786-360-5655",
            "fax_number": "786-360-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 NW 7TH ST",
            "address_2": "#218",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253569",
            "telephone_number": "786-360-5655",
            "fax_number": "786-360-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVALIFE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-03-18",
        "status": "A",
        "authorized_official_last_name": "DOUTHAT",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "786-709-7912",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "1183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; 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.