Organization Active NPI

Vital Health Care & Associates Inc.

  • Community Based Hospice Care Agency
  • Louisville, MS
National Provider Identifier
1730361023
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0084197MedicaidMS

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.