Vitalyze LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

VITALYZE LLC

Practice address

40 Melrose Ave
Mount Vernon, NY 10552-3109

Phone

(347) 846-1399

NPI assigned

Apr 14, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Noemie Valerie Akridge

Title

Owner

Phone

(347) 387-3667

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586822400000",
    "number": "1093334559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MELROSE AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105523109",
            "telephone_number": "347-846-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MELROSE AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105523109",
            "telephone_number": "347-846-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALYZE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A",
        "authorized_official_last_name": "AKRIDGE",
        "authorized_official_first_name": "NOEMIE",
        "authorized_official_middle_name": "VALERIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-387-3667",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.