VITALITY CARE LLC (NPI# 1093320996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093320996 |
| Entity Type | Organization |
| Organization Name | VITALITY CARE LLC |
| Practice Address |
6430 Court Rd Bldg A Houston TX 77053-4462 |
| Mailing Address |
3139 W Holcombe Blvd # A29 Houston TX 77025-1533 |
| Practice Telephone | 8323426326 |
| Practice Fax Number | 8327818659 |
| Mailing Telephone | 7132132717 |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-21 |
| Authorized Official Name | KIMBERLY WINGARD (FAMILY NURSE PRACTITIONER) |
| Authorized Official Telephone | 7132132717 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Vitality Care LLC | 3000 S. Jamaica Court, Suite 335, Aurora, CO 80014 |
| Street Address |
6430 COURT RD BLDG A |
| City | HOUSTON |
| State | TX |
| Zip Code | 77053-4462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134741416 | Elizabeth Ndubuaku Emebo | Nurse Practitioner | 6430 Court Rd Bldg A, Houston, TX 77053-4462 | 2020-05-10 |
| 1174146450 | Grow Behavioral Concepts LLC. | Case Management | 6430 Court Rd Bldg A, Houston, TX 77053-4462 | 2020-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679065551 | The Genesis Project Usa | Private Vehicle | 16366 Paiter St, Houston, TX 77053 | 2018-06-05 |
| 1427549625 | Mary Joseph | Case Manager/Care Coordinator | 3830 Wimberley Hollow Ln, Houston, TX 77053 | 2018-05-23 |
| 1477076560 | Jermaine L Brown | Driver | 4631 Callery Creek Dr, Houston, TX 77053 | 2017-07-20 |
| 1164897948 | Almas Amin | Nurse Practitioner | 4411 Anderson Rd, Houston, TX 77053 | 2015-12-05 |
| 1740437201 | Senior Friends, Inc. | Case Manager/Care Coordinator | 8001 Mchard Rd., Suite 3, Houston, TX 77053 | 2008-08-26 |
| 1861697799 | Karing Hands Homes Hcs | Counselor | 4422 Knottynold, Houston, TX 77053 | 2007-06-20 |
| 1356372148 | Bosede O Adetunji | Licensed Practical Nurse | 15738 Boonridge Rd, Houston, TX 77053 | 2006-07-06 |
| 1679546642 | Joseph Ervin Hawkins | Counselor | 4319 Highpoint Lane, Houston, TX 77053 | 2006-02-09 |
| 1831352442 | Evette Michelle Tryals-broussard | Registered Nurse | 4631 Knottynold Ln, Houston, TX 77053-1103 | 2008-07-03 |
| 1164816021 | Clinton Broussard | Non-emergency Medical Transport (VAN) | 4631 Knottynold Ln, Houston, TX 77053-1103 | 2015-03-27 |
| Find all providers in zip 77053 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740588 | Jessica Claudia Cazaubon | Nurse Practitioner | 13327 Crim Rd, Houston, TX 77049-3448 | 2020-11-04 |
| 1780245134 | Vytal Mobile Health LLC | Nurse Practitioner | 17350 State Highway 249 Ste 222, Houston, TX 77064-1147 | 2019-06-26 |
| 1417418682 | Myounghee Michelle Jeong | Nurse Practitioner | 4215 Misty Heather Ct, Houston, TX 77059-5521 | 2019-03-28 |
| 1932667474 | Catherine Taylor Pence | Nurse Practitioner | 150 Sabine St Apt 158, Houston, TX 77007-8355 | 2019-03-04 |
| 1154894822 | Ada Family Health Clinic Pllc | Nurse Practitioner | 8191 Southwest Fwy Ste 101, Houston, TX 77074-1700 | 2019-01-05 |
| 1346726387 | Adaure Ugwoegbu | Nurse Practitioner | 3119 Clipper Winds Way, Houston, TX 77084-7619 | 2018-07-12 |
| 1841707676 | Tammie Rena Bryant | Nurse Practitioner | 14935 S Richmond Ave Apt 1917, Houston, TX 77082-1598 | 2018-01-02 |
| 1639692189 | Nizar Nayani | Nurse Practitioner | 13801 Napoli Dr Apt 8210, Houston, TX 77070-2690 | 2017-07-17 |
| 1740728005 | Meisha Lorraine Smith | Nurse Practitioner | 920 Medical Plaza Blvd, 450, Houston, TX 77090 | 2017-02-07 |
| 1316392483 | Juenella Hatchett | Nurse Practitioner | 10206 Sagegate Dr, Houston, TX 77089-5127 | 2016-04-26 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.