Vitality 360 Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

VITALITY 360 INC

Practice address

2442 N Charles St
Baltimore, MD 21218-5113

Phone

(410) 413-6786

Fax

(410) 413-6792

NPI assigned

Dec 23, 2019

Organization subpart

No

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

Authorized official

Name

Chimere Becote

Title

Owner

Phone

(410) 805-9464

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1659910636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2442 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185113",
            "telephone_number": "410-413-6786",
            "fax_number": "410-413-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2442 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185113",
            "telephone_number": "410-413-6786",
            "fax_number": "410-413-6792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY 360 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-23",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "BECOTE",
        "authorized_official_first_name": "CHIMERE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-805-9464"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vital Bloom Home Care LLC
• Vital Cure Primary Services LLC
• Vital Transit LLC
• Jessica Lauren Vitale, MD
• Vitality 360 Health Care LLC
• Vitality 360 of Baltimore at Providence
• Vitality Home Healthcare Associates, LLC
• Vitality NP Group
• Vitality Psychotherapy Services LLC
• Teresa Carol Vitek, OTR/L

• Adult Day Care Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Adult Day Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.