Organization Active NPI

Vital Wellness Corporation

  • Home Health Agency
  • Centennial, CO
National Provider Identifier
1700131547
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
20111674892 Issued in CO
Legal business name
VITAL WELLNESS CORPORATION
Practice address
7853 E Arapahoe CT
Suite 1100
Centennial, CO 80112
Phone
(630) 369-8450
NPI assigned
Jul 18, 2012
Last updated
Aug 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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

Authorized official

Name
Mr. Allan Dennis Rosales
Title
Clinical Operations Executive
Phone
(815) 272-6292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 20111674892 CO Primary

Addresses

Primary practice location

7853 E Arapahoe CT
Suite 1100
Centennial, CO 80112

Mailing address

1717 Howard St
Evanston, IL 60202-3735
Phone (312) 989-9260

National Provider Directory

National Provider Directory

Locations

7853 E Arapahoe Ct
Ste 1100
Centennial, CO 80112
Phone (630) 369-8450

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535328000000",
    "number": "1700131547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 HOWARD ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023735",
            "telephone_number": "312-989-9260",
            "fax_number": "773-345-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7853 E ARAPAHOE CT",
            "address_2": "SUITE 1100",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "80112",
            "telephone_number": "630-369-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL WELLNESS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2018-08-27",
        "status": "A",
        "authorized_official_last_name": "ROSALES",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "CLINICAL OPERATIONS EXECUTIVE",
        "authorized_official_telephone_number": "815-272-6292",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": "20111674892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.