Vibrant Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

VIBRANT ASSISTED LIVING

Practice address

6217 Fairdel Ave
Baltimore, MD 21206-2444

Phone

(443) 813-3197

NPI assigned

Dec 25, 2023

Organization subpart

No

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

Authorized official

Name

Allegra LewisNPI 1639948227

Title

Ceo

Phone

(443) 813-3197

Specialties & licenses 1

Addresses

Other names 1

• Vibrant assisted living Former legal business name

Practitioners 1

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

• Allegra Lewis

  • Assisted Living Facility
  • Baltimore, MD
  • NPI 1639948227
  NPD Authorized official

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

{
    "created_epoch": "1703462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703462400000",
    "number": "1710756309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 MEDFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182210",
            "telephone_number": "443-969-4982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6217 FAIRDEL AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212062444",
            "telephone_number": "443-813-3197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANT ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-25",
        "last_updated": "2023-12-25",
        "certification_date": "2023-12-25",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "ALLEGRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-813-3197"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vibrant assisted living",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Via Clinic, LLC
• Kamala Djuana Via, NP
• Megan Via
• Nancy Vias, C.R.N.P.
• Vibrant ABA Maryland LLC
• Megan Marion Vicchio-Pippens, MSW, LCSW-C
• Candace Vice
• Morgan J Vice, LCPC
• Marcelino Rufino Vicente Jr., LCSW-C
• Tanzania Vicino, CNM

• Assisted Living Facility in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Assisted Living Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2023; 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.