VITALITY HEALTH LLC


Address: 2211 Crocker Rd Ste 170, Westlake, OH 44145-7603
Phone: 4402500822

VITALITY HEALTH LLC (NPI# 1184283962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184283962
Entity Type Organization
Organization Name VITALITY HEALTH LLC
Practice Address 2211 Crocker Rd Ste 170
Westlake
OH 44145-7603
Practice Telephone 4402500822
Mailing Telephone 4402500822
Enumeration Date 2019-06-06
Last Update Date 2019-06-06
Authorized Official Name ALANA MERCER (OWNER)
Authorized Official Telephone 4402500822
Authorized Official Credential PA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities Vitality Health LLC 16520 Chickahominy Bluff Rd, Williamsburg, Virginia 23185
Colorado Business Entities Vitality Health LLC 2118 Jackson Street, Golden, CO 80401

Office Location

Street Address 2211 CROCKER RD STE 170
City WESTLAKE
State OH
Zip Code 44145-7603

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1841783990 Wendy Lynn Wheeler Counselor 28263 Center Ridge Rd, Westlake, OH 44145 2018-06-13
1326557836 Tiffany Manrodt Social Worker 24500 Center Ridge Road Bldg 4, #120, Westlake, OH 44145 2017-09-27
1639620792 Stacy Ryan Speech-Language Pathologist 3057 Holly Lane, Westlake, OH 44145 2016-10-24
1790238954 Kathleen Hanigosky Pharmacist 27175 Center Ridge Rd., Westlake, OH 44145 2016-07-25
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1902225022 Amanda Brooke Abernathy Physical Therapist 850 Columbia Road, Suite #110, Westlake, OH 44145 2014-04-16
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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Competitor

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City WESTLAKE
Zip Code 44145

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Dataset Information

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.

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