NPIMap

Organization Active NPI

Vitality Home Health Services,Inc.

  • Geriatric Medicine (Internal Medicine) Physician
  • Portage, MI
National Provider Identifier
1992252191
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
VITALITY HOME HEALTH SERVICES,INC.
Practice address
917 W Milham Ave
Portage, MI 49024-1248
Phone
(269) 567-9806
Fax
(269) 567-9808
NPI assigned
Sep 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Authorized official

Name
Rhiannon G Freiberg, PAC
Title
Owner
Phone
(616) 901-9070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X Primary

Addresses

Primary practice location

917 W Milham Ave
Portage, MI 49024-1248

Mailing address

917 W Milham Ave
Portage, MI 49024-1248
Phone (269) 567-9806

National Provider Directory

National Provider Directory

Locations

917 W Milham Ave
Portage, MI 49024
Phone (269) 567-9806

Practitioners & affiliated clinicians

Practitioners 6

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": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474416000000",
    "number": "1992252191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 W MILHAM AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490241248",
            "telephone_number": "269-567-9806",
            "fax_number": "269-567-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 W MILHAM AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490241248",
            "telephone_number": "269-567-9806",
            "fax_number": "269-567-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY HOME HEALTH SERVICES,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2016-09-21",
        "status": "A",
        "authorized_official_last_name": "FREIBERG",
        "authorized_official_first_name": "RHIANNON",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-901-9070",
        "authorized_official_credential": "PAC"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.