NPIMap

Organization Active NPI

Vitality Unlimited

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1396567939
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
VITALITY UNLIMITED
Practice address
6402 McLeod Dr Ste 4And5
Las Vegas, NV 89120-4405
Phone
(775) 738-4158
Fax
(775) 778-9501
NPI assigned
Oct 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

6402 McLeod Dr Ste 4And5
Las Vegas, NV 89120-4405

Mailing address

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

Other names 1

  • VITALITY INTEGRATED PROGRAMS LAS VEGAS Doing business as

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.

Locations

6402 McLeod Dr
Ste 4
Las Vegas, NV 89120
Phone (775) 738-4158

NPI Registry JSON

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1396567939",
    "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",
            "fax_number": "775-778-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6402 MCLEOD DR STE 4AND5",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204405",
            "telephone_number": "775-738-4158",
            "fax_number": "775-778-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY UNLIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "DEXTER",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "775-738-4158",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VITALITY INTEGRATED PROGRAMS LAS VEGAS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.