Vital Social Services LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

VITAL SOCIAL SERVICES LLC

Practice address

3901 NW 79TH Ave Ste 241
Doral, FL 33166-6506

Phone

(786) 580-4716

Fax

(786) 580-4753

NPI assigned

Feb 3, 2020

Organization subpart

No

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

Authorized official

Name

Quintin Valiente

Title

President

Phone

(786) 580-4716

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580688000000",
    "number": "1891326351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 NW 79TH AVE STE 241",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666506",
            "telephone_number": "786-580-4716",
            "fax_number": "786-580-4753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 NW 79TH AVE STE 241",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666506",
            "telephone_number": "786-580-4716",
            "fax_number": "786-580-4753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL SOCIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A",
        "authorized_official_last_name": "VALIENTE",
        "authorized_official_first_name": "QUINTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-580-4716"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vitalis ABA Services Inc
• Mayvic Vitier Alfonso
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• Viva Medical Center

• Case Management Agency in Doral, FL
• Providers in Doral, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.