NPIMap

Organization Active NPI

Vitality Unlimited

Doing business as Vitality Integrated Services Elko

  • Community/Behavioral Health Agency
  • Elko, NV
National Provider Identifier
1912445073
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
VITALITY UNLIMITED
Doing business as
Vitality Integrated Services Elko
Practice address
215 Bluffs Ave Ste 200
Elko, NV 89801-2465
Phone
(775) 738-8004
Fax
(775) 753-6487
NPI assigned
Feb 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Authorized official

Name
Dorothy Jean Dexter, MBA, CPA
Title
Chief Financial Officer
Phone
(775) 738-4158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

215 Bluffs Ave Ste 200
Elko, NV 89801-2465

Mailing address

PO Box 2580
Elko, NV 89803-2580
Phone (775) 738-4158

Other names 1

  • Vitality Integrated Services Elko Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201014003105 NV Part B Supplier - Clinic/Group Practice 4688095078 Receives reassigned benefits from 20 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Carson City, NV; Reno, NV; Elko, NV; Dayton, NV

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Vitality Unlimited7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

215 Bluffs Ave
Ste 100200
Elko, NV 89801
Phone (775) 777-8477

3740 E Idaho St
Elko, NV 89801
Phone (775) 738-8004

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1912445073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2580",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898032580",
            "telephone_number": "775-738-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 BLUFFS AVE STE 200",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898012465",
            "telephone_number": "775-738-8004",
            "fax_number": "775-753-6487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY UNLIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-08",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "DEXTER",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "775-738-4158",
        "authorized_official_credential": "MBA, CPA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vitality Integrated Services Elko",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elko, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.