Vitality Oasis Alf LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

VITALITY OASIS ALF LLC

Practice address

1117 SW Sudder Ave
Port Saint Lucie, FL 34953-1420

Phone

(772) 207-7947

Fax

(772) 408-0969

NPI assigned

Mar 23, 2026

Organization subpart

No

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

Authorized official

Name

Andre J DorvalNPI 1144688680

Title

Owner

Phone

(772) 940-9219

Specialties & licenses 1

Addresses

Practitioners 1

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

• Andre Dorval, RN

  • Registered Nurse
  • Port St Lucie, FL
  • NPI 1144688680
  NPD Authorized official

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

{
    "created_epoch": "1774224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1316885403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11380 SW HILLCREST CIR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349872704",
            "telephone_number": "772-940-9219",
            "fax_number": "772-408-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 SW SUDDER AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349531420",
            "telephone_number": "772-207-7947",
            "fax_number": "772-408-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY OASIS ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-23",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "DORVAL",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-940-9219"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Borgeline Marie Jina Vilfort
• Marckenson Vincent Sr.
• William Joseph Vinyard, MD
• Visser Health LLC
• Vitality Mobile Nursing Services LLC
• Vitam Florida Health and Wellness LLC
• Rebecca K Vlha
• Huyen Vu
• Brianna Wagner
• Marie A Wagner

• Assisted Living Facility (Mental Illness) in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.