Organization Active NPI

Vitality Zone

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Hurst, TX
National Provider Identifier
1245035252
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
VITALITY ZONE
Practice address
600 Mid Cities Blvd
Hurst, TX 76054-2741
Phone
(901) 218-1119
NPI assigned
Feb 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Authorized official

Name
Menzise RichardsonNPI 1104621283
Title
Director
Phone
(901) 218-1119

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

600 Mid Cities Blvd
Hurst, TX 76054-2741

Mailing address

310 Creighton Ave
Red Oak, TX 75154-1460
Phone (901) 218-1119

Other names 1

  • Vitality Zone Doing business as

National Provider Directory

National Provider Directory

Locations

600 Mid Cities Blvd
Hurst, TX 76054
Phone (901) 218-1119

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1245035252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 CREIGHTON AVE",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751541460",
            "telephone_number": "901-218-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MID CITIES BLVD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760542741",
            "telephone_number": "901-218-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY ZONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "MENZISE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "901-218-1119"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vitality Zone",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hurst, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.