Vitality Medical Care LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

VITALITY MEDICAL CARE LLC

Practice address

1754 E Tano LN
Mount Prospect, IL 60056-1718

Phone

(847) 910-6059

Fax

(360) 554-0143

NPI assigned

Sep 16, 2024

Organization subpart

No

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

Authorized official

Name

Michael Castaneda, APNNPI 1114543055

Title

Owner

Phone

(847) 910-6059

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Castaneda

  • Family Nurse Practitioner
  • Park Ridge, IL
  • NPI 1114543055
  Authorized official Same address or phone

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1073340030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1754 E TANO LN",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600561718",
            "telephone_number": "847-910-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1754 E TANO LN",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600561718",
            "telephone_number": "847-910-6059",
            "fax_number": "360-554-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-15",
        "status": "A",
        "authorized_official_last_name": "CASTANEDA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-910-6059",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Elizabeth Vik, OTR/L
• Village of Mt Prospect
• Timothy Ryan Villaverde
• Anne Marie Viollt, M.D.
• Vista Linda Eye Care Inc
• Megan Lynn Vogelzang
• Timothy Volk, MD
• Lawrence Richard Voss, D.D.S.
• Wal-Mart Pharmacy Inc West (Wal-Mart Pharmacy)
• Wal-Mart Stores, Inc (Vision Center 30-1681)

• Family Nurse Practitioner in Mount Prospect, IL
• Providers in Mount Prospect, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.