Vitality Healthcare LLC

Primary specialty

Lodging ProviderTaxonomy code 177F00000X

Legal business name

VITALITY HEALTHCARE LLC

Doing business as

Mountainside

Practice address

187 S Canaan Rd
Canaan, CT 06018-2544

Phone

(860) 362-5232

Fax

(877) 861-6507

NPI assigned

Feb 24, 2025

Last updated

Feb 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Williamson

Title

VP, Revenue Cycle

Phone

(860) 362-5232

Specialties & licenses 1

Addresses

Other names 1

• Mountainside Doing business as

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1174329676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 S CANAAN RD",
            "city": "CANAAN",
            "state": "CT",
            "postal_code": "060182544",
            "telephone_number": "860-362-5232",
            "fax_number": "877-861-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 S CANAAN RD",
            "city": "CANAAN",
            "state": "CT",
            "postal_code": "060182544",
            "telephone_number": "860-362-5232",
            "fax_number": "877-861-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "VP, REVENUE CYCLE",
        "authorized_official_telephone_number": "860-362-5232"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountainside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lodging Provider in Canaan, CT
• Providers in Canaan, CT by specialty
• Lodging Provider in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.