NPIMap

Organization Active NPI

Vitality for Life

  • Adult Mental Health Clinic/Center
  • Gardnerville, NV
National Provider Identifier
1962779850
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
10804 Issued in NV
Legal business name
VITALITY FOR LIFE
Practice address
1107 US Highway 395 N
Gardnerville, NV 89410-5304
Phone
(775) 782-1599
Fax
(775) 782-1558
NPI assigned
Nov 21, 2011
Last updated
Nov 21, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
CARSON VALLEY MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Authorized official

Name
Mr. William Hale
Title
Ceo
Phone
(775) 782-1586

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 10804 NV Primary

Addresses

Primary practice location

1107 US Highway 395 N
Gardnerville, NV 89410-5304

Mailing address

1107 US Highway 395 N
Gardnerville, NV 89410-5304
Phone (775) 782-1599

National Provider Directory

National Provider Directory
Tax ID family
Washoe Barton Med Clinic a5 organizations share this tax ID, including this one
Part of
Washoe Barton Med Clinic a

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1962779850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 US HIGHWAY 395 N",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894105304",
            "telephone_number": "775-782-1599",
            "fax_number": "775-782-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 US HIGHWAY 395 N",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894105304",
            "telephone_number": "775-782-1599",
            "fax_number": "775-782-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY FOR LIFE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARSON VALLEY MEDICAL CENTER",
        "enumeration_date": "2011-11-21",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "775-782-1586",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NV",
            "license": "10804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardnerville, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; 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.