Vital Enterprises, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

100178 Issued in CA

Legal business name

VITAL ENTERPRISES, INC

Practice address

1115 S Fairmont Ave
Lodi, CA 95240-5500

Phone

(209) 339-7610

NPI assigned

Jun 25, 2006

Last updated

Aug 22, 2020By 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

Joseph Harrington

Title

Chief Executive Officer

Phone

(209) 339-7996

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Lodi Memorial Hospital Association Inc

  dba Lodi Memorial Hospital Acute Physical Rehabilitation Unit

  • Rehabilitation Hospital Unit
  • Lodi, CA
  • NPI 1821028671

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326074733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 S FAIRMONT AVE",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952405500",
            "telephone_number": "209-339-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 S FAIRMONT AVE",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952405500",
            "telephone_number": "209-339-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRINGTON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "209-339-7996"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "100178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME00603G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vienna Convalescent Hospital, Inc.
• Dalia Villa Martinez, DDS
• Roger P Vincent, MD
• Vine Imaging Partners Medical Group, Inc.
• Vital Care LLC
• Vital Forts LLC
• April Dawn Vonderahe
• Christine Vong, AU.D.
• Mary Jane Vredenburg, DO
• Joe Y Vuong, PHARM D

• Durable Medical Equipment & Medical Supplies in Lodi, CA
• Providers in Lodi, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.