Vitalize Healthcare LTD. Co.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

VITALIZE HEALTHCARE LTD. CO.

Practice address

386 Waller Ave Ste 103-104
Lexington, KY 40504-2917

Phone

(252) 315-5165

NPI assigned

Jan 10, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Brandon Eugene Sims

Title

Manager

Phone

(252) 315-5165

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1356887616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 WALLER AVE STE 103-104",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042917",
            "telephone_number": "252-315-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 WALLER AVE STE 103-104",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042917",
            "telephone_number": "252-315-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALIZE HEALTHCARE LTD. CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "252-315-5165",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vision Therapy Solutions, LLC
• Vital Living Counseling Services, LLC
• Everett R Vital, CRNA
• Vitality DX LLC
• Vitality Pain Management LLC
• Ricardo Alejandro Vivanco Menoscal, MD
• Vivien M Smith OD PSC
• Bich-Thuy Thi Vo, DPM
• Olivia D Voelker, MD
• Brittany Nicole Vogel, LCSW

• Community/Behavioral Health Agency in Lexington, KY
• Providers in Lexington, KY by specialty
• Community/Behavioral Health Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.