Organization Active NPI

Vituro Health of Las Vegas, LLC

  • Specialist
  • Birmingham, AL
National Provider Identifier
1902372410
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
VITURO HEALTH OF LAS VEGAS, LLC
Practice address
2901 2ND Ave S Ste 130
Birmingham, AL 35233-2928
Phone
(866) 484-8876
Fax
(941) 296-8210
NPI assigned
Oct 23, 2018
Organization subpart
Yes
Parent organization
VITURO HEALTH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Authorized official

Name
Mr. Cleveland Walker
Title
Ceo
Phone
(205) 515-5401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2901 2ND Ave S Ste 130
Birmingham, AL 35233-2928

Mailing address

2901 2ND Ave S Ste 130
Birmingham, AL 35233-2928
Phone (866) 484-8876

National Provider Directory

National Provider Directory
Part of
Vituro Health LLC

Locations

2901 2nd Ave S
Ste 130
Birmingham, AL 35233
Phone (866) 484-8876

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540252800000",
    "number": "1902372410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 2ND AVE S STE 130",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352332928",
            "telephone_number": "866-484-8876",
            "fax_number": "941-296-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 2ND AVE S STE 130",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352332928",
            "telephone_number": "866-484-8876",
            "fax_number": "941-296-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITURO HEALTH OF LAS VEGAS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VITURO HEALTH, LLC",
        "enumeration_date": "2018-10-23",
        "last_updated": "2018-10-23",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "CLEVELAND",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-515-5401",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.