Vitality Health Holdings LLC

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

Legal business name

VITALITY HEALTH HOLDINGS LLC

Practice address

5647 Nash Dr
Pipersville, PA 18947-1119

Phone

(877) 288-0042

Fax

(877) 288-0043

NPI assigned

Aug 8, 2022

Organization subpart

No

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

Authorized official

Name

Tina Krajnikovich, APN

Title

Ceo/President

Phone

(877) 288-0042

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1578291647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5647 NASH DR",
            "city": "PIPERSVILLE",
            "state": "PA",
            "postal_code": "189471119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5647 NASH DR",
            "city": "PIPERSVILLE",
            "state": "PA",
            "postal_code": "189471119",
            "telephone_number": "877-288-0042",
            "fax_number": "877-288-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY HEALTH HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "KRAJNIKOVICH",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "877-288-0042",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Sutherland, ND
• Kelly Tachie-Menson
• Teresa C Gohen
• Carly Urbanovich
• Adrianna Vernace, PH.D.
• Robert Scott Wagner, DDS

• Hospice and Palliative Medicine (Internal Medicine) Physician in Pipersville, PA
• Providers in Pipersville, PA by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.