NPIMap

Organization Active NPI

Vital Life Healthcare Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Miami, FL
National Provider Identifier
1407218555
Registry record updated Mar 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
VITAL LIFE HEALTHCARE INC
Practice address
13501 SW 136TH St
Suite 210
Miami, FL 33186-8319
Phone
(786) 732-2484
NPI assigned
Mar 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2016

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

Authorized official

Name
Dr. Robert Koeing
Title
Ceo
Phone
(305) 767-1556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

13501 SW 136TH St
Suite 210
Miami, FL 33186-8319

Mailing address

13501 SW 136TH St
Suite 210
Miami, FL 33186-8319
Phone (786) 732-2484

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1459036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459036800000",
    "number": "1407218555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13501 SW 136TH ST",
            "address_2": "SUITE 210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331868319",
            "telephone_number": "786-732-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13501 SW 136TH ST",
            "address_2": "SUITE 210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331868319",
            "telephone_number": "786-732-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL LIFE HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-27",
        "last_updated": "2016-03-27",
        "status": "A",
        "authorized_official_last_name": "KOEING",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-767-1556",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2016; 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.