Vitality Health Systems Corporation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

VITALITY HEALTH SYSTEMS CORPORATION

Practice address

464 Richmond Rd Ste 202
Richmond Heights, OH 44143-2704

Phone

(330) 824-4200

Fax

(440) 525-5564

NPI assigned

Oct 9, 2019

Organization subpart

No

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

Authorized official

Name

Kelli Black

Title

Billing Manager

Phone

(216) 512-5929

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570579200000",
    "number": "1124660444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 RICHMOND RD STE 202",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441432704",
            "telephone_number": "330-824-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 RICHMOND RD STE 202",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441432704",
            "telephone_number": "330-824-4200",
            "fax_number": "440-525-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY HEALTH SYSTEMS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "216-512-5929"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lifevitalityusa@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "464 Richmond Rd Ste 202",
            "city": "Richmond Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441432704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinic/Center in Richmond Heights, OH
• Providers in Richmond Heights, OH by specialty
• Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.