NPIMap

Organization Active NPI

Vitality Unlimited

Doing business as Vitality Carson City

  • Substance Abuse Rehabilitation Facility
  • Carson City, NV
National Provider Identifier
1629540380
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
VITALITY UNLIMITED
Doing business as
Vitality Carson City
Practice address
900 E Long St
Carson City, NV 89706-3100
Phone
(775) 738-8004
Fax
(775) 753-6487
NPI assigned
Dec 19, 2018
Last updated
Feb 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Authorized official

Name
Dorothy J DexterNPI 1285916395
Title
Cfo
Phone
(775) 738-4158

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

900 E Long St
Carson City, NV 89706-3100

Mailing address

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

Other names 1

  • Vitality Carson City Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201014003105 NV Part B Supplier - Clinic/Group Practice 4688095078 Receives reassigned benefits from 20 practitioners
5 other NPIs on this enrollment
Practice locations: Carson City, NV; Reno, NV; Elko, NV; Dayton, NV

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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

680 W Nye Ln
Ste AND202
Carson City, NV 89703

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1629540380",
    "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": "775-753-6487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E LONG ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897063100",
            "telephone_number": "775-738-8004",
            "fax_number": "775-753-6487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY UNLIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-19",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "DEXTER",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "775-738-4158"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vitality Carson City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.