Vital Wellness LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

20111674892 Issued in CO

Legal business name

VITAL WELLNESS LLC

Practice address

6860 S Yosemite CT
2000
Centennial, CO 80112-1409

Phone

(630) 369-8450

NPI assigned

Mar 14, 2012

Organization subpart

No

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

Authorized official

Name

Jenneth C Panaligan

Title

Owner

Phone

(309) 369-8450

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1366717951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 AMERSALE DR",
            "address_2": "105",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632587",
            "telephone_number": "630-369-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6860 S YOSEMITE CT",
            "address_2": "2000",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121409",
            "telephone_number": "630-369-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-14",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "PANALIGAN",
        "authorized_official_first_name": "JENNETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-369-8450"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": "20111674892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Centennial, CO
• Providers in Centennial, CO by specialty
• Home Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.