NPIMap

Organization Active NPI

Vital Healthcare Center LLC

  • Health Service Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1508425372
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
VITAL HEALTHCARE CENTER LLC
Practice address
2801 S Valley View Blvd Ste 8
Las Vegas, NV 89102-0116
Phone
(702) 473-5232
Fax
(725) 223-4688
NPI assigned
Jun 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Authorized official

Name
Theophilus Akoh, PHARMD
Title
Manager
Phone
(775) 335-7450

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

2801 S Valley View Blvd Ste 8
Las Vegas, NV 89102-0116

Mailing address

2801 S Valley View Blvd Ste 8
Las Vegas, NV 89102-0116
Phone (775) 335-7450

Other names 1

  • VITAL HEALTHCARE CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

2831 Business Park Ct
Ste 110
Las Vegas, NV 89128
Phone (725) 600-3597

NPI Registry JSON

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1508425372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 S VALLEY VIEW BLVD STE 8",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891020116",
            "telephone_number": "775-335-7450",
            "fax_number": "725-223-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 S VALLEY VIEW BLVD STE 8",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891020116",
            "telephone_number": "702-473-5232",
            "fax_number": "725-223-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-06",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "AKOH",
        "authorized_official_first_name": "THEOPHILUS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "775-335-7450",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VITAL HEALTHCARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VITAL HEALTHCARE CENTER",
            "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 Aug 31, 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.