VITALITY 360 INC (NPI# 1659910636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659910636 |
| Entity Type | Organization |
| Organization Name | VITALITY 360 INC |
| Practice Address |
2442 N Charles St Baltimore MD 21218-5113 |
| Practice Telephone | 4104136786 |
| Practice Fax Number | 4104136792 |
| Mailing Telephone | 4104136786 |
| Mailing Fax Number | 4104136792 |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2019-12-23 |
| Authorized Official Name | CHIMERE BECOTE (OWNER) |
| Authorized Official Telephone | 4108059464 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Street Address |
2442 N CHARLES ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21218-5113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851933725 | Tierra Bouyer | Speech-Language Pathologist | 2040 East 32nd Street, Baltimore, MD 21218 | 2019-10-12 |
| 1093273559 | Brenda H. Wells | Social Worker | 200 E. North Ave., Baltimore, MD 21218 | 2019-03-04 |
| 1619441011 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 2514 Greenmount Avenue, Baltimore, MD 21218 | 2019-01-18 |
| 1649740291 | Elise Christine Starkey | Occupational Therapist | 801 Argonne Drive, Baltimore, MD 21218 | 2018-11-27 |
| 1851861421 | Alagra S Bass | Social Worker | 1900 N. Howard Street Suite 300, Baltimore, MD 21218 | 2018-11-27 |
| 1396213575 | Desiree Luerene Israel | Social Worker | 2000 Greenmount Ave Ste 101, Baltimore, MD 21218 | 2018-11-06 |
| 1952885451 | Harwood Behavioral Health Partners, LLC | Clinic/Center | 2514 Greenmount Ave, Baltimore, MD 21218 | 2018-09-20 |
| 1528548047 | Rozi Khan | Student in an Organized Health Care Education/Training Program | 325 East University Pkwy 1-3, Bltimore, MD 21218 | 2018-08-14 |
| 1558866202 | Prabij N/a Dhungana | Student in an Organized Health Care Education/Training Program | 201 E. University Parkway, Dept of Medicine, Baltimore, MD 21218 | 2018-03-26 |
| 1588163562 | Generation 5 Healthcare, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 707 Belgian Ave., Baltimore, MD 21218 | 2018-02-06 |
| Find all providers in zip 21218 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
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| 1619494242 | Baltimore Adult Medical Day Care | Clinic/Center | 1109 Ingleside Ave, Baltimore, MD 21207-4735 | 2017-08-24 |
| 1669735445 | A Providence Medical Adult Day Care Inc | Clinic/Center | 800 S Caton Ave, Baltimore, MD 21229-4210 | 2012-06-18 |
| 1053681775 | Golden Days Medical Day Care Inc | Clinic/Center | 4601 Hollins Ferry Rd Ste C, Baltimore, MD 21227-4625 | 2012-01-11 |
| 1568756807 | Quality Life Day Services Inc | Clinic/Center | 1200 Steuart St Unit 1413, Baltimore, MD 21230-5392 | 2011-06-03 |
| 1083912406 | Levels Adult Day Care | Clinic/Center | 210 W. 28th St., Baltimore, MD 21211 | 2011-03-09 |
| 1255642138 | Team 2 | Clinic/Center | 4147 Labyrinth Rd, Baltimore, MD 21215-2202 | 2010-06-25 |
| 1508028572 | Payne Memorial Outreach, Inc. | Clinic/Center | 1701 Madison Ave, Baltimore, MD 21217-3731 | 2008-06-30 |
| 1558533364 | Easter Seals Baltimore-washington Region | Clinic/Center | 7301 Dogwood Rd, Baltimore, MD 21244-1805 | 2008-04-01 |
| Find all providers in BALTIMORE | ||||
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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.