Great Lakes Vitality, LLC

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

Legal business name

GREAT LAKES VITALITY, LLC

Doing business as

Vital Care of Auburn Hills

Practice address

1532 N Opdyke Rd Ste 700
Auburn Hills, MI 48326-2686

Phone

(947) 886-4178

Fax

(947) 886-4655

NPI assigned

Dec 19, 2023

Organization subpart

No

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

Authorized official

Name

Brian Schmitt

Title

Owner

Phone

(947) 886-4178

Specialties & licenses 6

Addresses

Other names 1

• Vital Care of Auburn Hills Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Paige Bailey, PHARMD

  • Pharmacist
  • Auburn Hills, MI
  • NPI 1871362251
  NPD

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1699543652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 N OPDYKE RD STE 700",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262686",
            "telephone_number": "947-886-4178",
            "fax_number": "947-886-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 N OPDYKE RD STE 700",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262686",
            "telephone_number": "947-886-4178",
            "fax_number": "947-886-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES VITALITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "SCHMITT",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "947-886-4178"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Care of Auburn Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vasilia Patricia Graboski, MS,LLP
• Elizabeth Jane Grahn, LMSW
• Kenneth Vernon Grattan, OD
• Great Lakes Comprehensive Care, LLC
• Great Lakes Regenerative Medicine, PLLC
• Gregory M Okoniewski PLLC
• Kristyn Marie Gregory, D.O.
• Candace Griffey
• Joshua Douglas Griffin
• Melissa Grigoriou, LPC

• Home Infusion Therapy Pharmacy in Auburn Hills, MI
• Providers in Auburn Hills, MI by specialty
• Home Infusion Therapy Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.