Vitality Health LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

VITALITY HEALTH LLC

Practice address

20905 Greenfield Rd Ste 200
Southfield, MI 48075-5346

Phone

(248) 809-3119

Fax

(248) 996-8273

NPI assigned

Jun 22, 2021

Organization subpart

No

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

Authorized official

Name

Rahimah Ben-Asad Ray-ElNPI 1902205859

Title

Owner

Phone

(248) 809-3119

Specialties & licenses 1

Addresses

Other names 1

• vitality health llc Former legal business name

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rahimah Ben-Asad Ray-El

  • Pain Clinic/Center
  • Southfield, MI
  • NPI 1902205859
  NPD Authorized official

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1457920647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20905 GREENFIELD RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755360",
            "telephone_number": "248-809-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20905 GREENFIELD RD STE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755346",
            "telephone_number": "248-809-3119",
            "fax_number": "248-996-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-09-08",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "RAY-EL",
        "authorized_official_first_name": "RAHIMAH",
        "authorized_official_middle_name": "BEN-ASAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-809-3119"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "vitalityhealthmgmt@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "20905 Greenfield Rd Ste 200",
            "city": "Southfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480755346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "vitality health llc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "vitality health llc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Vitality Group Inc (Vitality Health Services inc)
• Vitality Home Care Inc.
• Vitas Healthcare Corporation Midwest
• Viva Wellness PLLC
• Vivid Neurology PC
• VK Internal Medicine, PC

• Pain Clinic/Center in Southfield, MI
• Providers in Southfield, MI by specialty
• Pain Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.