Damo Vital

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

DAMO VITAL

Practice address

120 W Park Ave Ste 312C
Long Beach, NY 11561-3344

Phone

(516) 724-8013

Fax

(516) 724-8014

NPI assigned

Dec 11, 2025

Organization subpart

No

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

Authorized official

Name

Damolie Kemone Williams

Title

Ceo

Phone

(347) 929-3239

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1765411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1194689588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W PARK AVE STE 312C",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613344",
            "telephone_number": "516-724-8013",
            "fax_number": "516-724-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W PARK AVE STE 312C",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613344",
            "telephone_number": "516-724-8013",
            "fax_number": "516-724-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMO VITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-11",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DAMOLIE",
        "authorized_official_middle_name": "KEMONE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-929-3239"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Dec 11, 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.