Vitality Home Health Agency of FL, LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

VITALITY HOME HEALTH AGENCY OF FL, LLC.

Practice address

4000 Hollywood Blvd Ste 555S
Hollywood, FL 33021-6853

Phone

(786) 772-0201

Fax

(786) 772-0221

NPI assigned

Mar 15, 2022

Organization subpart

No

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

Authorized official

Name

Miss Galina Braiman

Title

Manager

Phone

(786) 772-0201

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1285382689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18975 COLLINS AVE UNIT 4202",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331605441",
            "telephone_number": "917-968-4796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 HOLLYWOOD BLVD STE 555S",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216853",
            "telephone_number": "786-772-0201",
            "fax_number": "786-772-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY HOME HEALTH AGENCY OF FL, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-15",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "BRAIMAN",
        "authorized_official_first_name": "GALINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-772-0201",
        "authorized_official_name_prefix": "Miss"
    },
    "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 Jan 8, 2024; 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.