Vitality Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

VITALITY CARE LLC

Practice address

4518 Ash Tree St
Snellville, GA 30039-3361

Phone

(404) 902-9961

NPI assigned

Jun 5, 2023

Organization subpart

No

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

Authorized official

Name

Carlene McFayden-Kemp, RMA, CNA

Title

Ceo/Administrator

Phone

(678) 215-4591

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1144914011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 W WIEUCA RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423321",
            "telephone_number": "404-902-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4518 ASH TREE ST",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300393361",
            "telephone_number": "404-902-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "MCFAYDEN-KEMP",
        "authorized_official_first_name": "CARLENE",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "678-215-4591",
        "authorized_official_credential": "RMA, CNA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.