Active NPI
Vital Health Care & Associates Inc.
- Community Based Hospice Care Agency
- Louisville, MS
National Provider Identifier
1730361023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- VITAL HEALTH CARE & ASSOCIATES INC.
- Practice address
- 870 S Church Ave
Louisville, MS 39339-3447 - Phone
- (662) 779-2004
- Fax
- (662) 779-2024
- NPI assigned
- Nov 29, 2007
- Last updated
- Nov 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Claudia L Stone
- Title
- Owner
- Phone
- (662) 779-2004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | MS | Primary |
Addresses
Primary practice location
870 S Church Ave
Louisville, MS 39339-3447
Mailing address
870 S Church Ave
Louisville, MS 39339-3447
Phone (662) 779-2004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0084197 | Medicaid | MS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196294400000",
"number": "1730361023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "870 S CHURCH AVE",
"city": "LOUISVILLE",
"state": "MS",
"postal_code": "393393447",
"telephone_number": "662-779-2004",
"fax_number": "662-779-2024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "870 S CHURCH AVE",
"city": "LOUISVILLE",
"state": "MS",
"postal_code": "393393447",
"telephone_number": "662-779-2004",
"fax_number": "662-779-2024"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITAL HEALTH CARE & ASSOCIATES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-29",
"last_updated": "2007-11-29",
"status": "A",
"authorized_official_last_name": "STONE",
"authorized_official_first_name": "CLAUDIA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "662-779-2004",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "MS",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0084197",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.