NPIMap

Organization Active NPI

Vitality Unlimited

  • Substance Abuse Rehabilitation Facility
  • Elko, NV
National Provider Identifier
1376624494
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
VITALITY UNLIMITED
Practice address
3740 Idaho St
Elko, NV 89801-4611
Phone
(775) 738-4158
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Authorized official

Name
Dorothy Jean Dexter, MBA, CPA
Title
Chief Financial Officer
Phone
(775) 738-4158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NV Primary

Addresses

Primary practice location

3740 Idaho St
Elko, NV 89801-4611

Mailing address

PO Box 2580
Elko, NV 89803-2580
Phone (775) 738-4158

Other names 1

  • Vitality Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201014003105 NV Part B Supplier - Clinic/Group Practice 4688095078 Receives reassigned benefits from 20 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Carson City, NV; Reno, NV; Elko, NV; Dayton, NV

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2103794Vitality Center/Actions3740 Idaho St, Elko, NV 89801Certificate of waiverAug 12, 2026

National Provider Directory

National Provider Directory
Tax ID family
Vitality Unlimited7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1376624494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2580",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898032580",
            "telephone_number": "775-738-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 IDAHO ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898014611",
            "telephone_number": "775-738-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY UNLIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "DEXTER",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "775-738-4158",
        "authorized_official_credential": "MBA, CPA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vitality Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elko, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.