Health & Vitality LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

6626691 Issued in KS

Legal business name

HEALTH & VITALITY LLC

Practice address

162 N Hillside St
Wichita, KS 67214-4919

Phone

(316) 440-3639

Fax

(316) 440-3931

NPI assigned

May 3, 2012

Last updated

May 3, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Steven R Henson, M.D.NPI 1518923580

Title

President

Phone

(877) 378-4643

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven Henson, MD

  • Emergency Medicine Physician
  • Wichita, KS
  • NPI 1518923580
  NPD (past) Authorized official

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1801155395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5000",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370885000",
            "telephone_number": "877-378-4643",
            "fax_number": "615-547-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 N HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144919",
            "telephone_number": "316-440-3639",
            "fax_number": "316-440-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH & VITALITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-03",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "HENSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-378-4643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KS",
            "license": "6626691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Healthback Home Health of Kansas, Inc.

• Physical Medicine & Rehabilitation Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Physical Medicine & Rehabilitation Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.