Vita Nova

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

VITA NOVA

Practice address

3111 S Dixie Hwy Ste 243
West Palm Beach, FL 33405-1548

Phone

(561) 689-0035

Fax

(561) 689-0806

NPI assigned

Sep 29, 2015

Organization subpart

No

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

Authorized official

Name

George Shopland, M.ED

Title

Chief Operations Officer

Phone

(561) 689-0035

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1770953168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 S DIXIE HWY STE 243",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334051548",
            "telephone_number": "561-689-0035",
            "fax_number": "561-689-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 S DIXIE HWY STE 243",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334051548",
            "telephone_number": "561-689-0035",
            "fax_number": "561-689-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITA NOVA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "SHOPLAND",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "561-689-0035",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Mental Illness Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.