Active NPIOrganization

Vitality Healthcare LLC

Lodging in Canaan, Connecticut

NPI Number1174329676
Practice location
187 S Canaan RD, Canaan, CT 06018-2544
Fax
877-861-6507
Last updated
February 24, 2025

Vitality Healthcare LLC is a healthcare organization based in Canaan, CT. Vitality Healthcare LLC practices in Canaan, CT. The NPI Number for Vitality Healthcare LLC is 1174329676. The current practice location address for Vitality Healthcare LLC is 187 S Canaan RD, Canaan, CT 06018-2544 and can be reached out via phone at 860-362-5232 and via fax at 877-861-6507.

Provider Profile Details

NPI Number
1174329676
Provider Name
Vitality Healthcare LLC
Provider Entity Type
Organization
Address
187 S Canaan RD, Canaan, CT 06018-2544
Phone Number
860-362-5232
Fax Number
877-861-6507
Primary Taxonomy
Lodging · 177F00000X
Organization Subpart
No
Authorized Official
Michelle Williamson · Vp, Revenue Cycle · 860-362-5232
Other Names
Mountainside (Doing Business As)
Provider Enumeration Date
February 24, 2025
Last Update Date
February 24, 2025
Certification Date
February 24, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
187 S Canaan RD
Canaan, CT 06018-2544
City
Canaan
Zip
06018-2544
Phone Number
860-362-5232
Fax Number
877-861-6507
Canaan, CT 06018Get directions →

Provider Business Mailing Address Details

Address
187 S Canaan RD
Canaan, CT 06018-2544
City
Canaan
State
CT
Zip
06018-2544
Phone Number
860-362-5232
Fax Number
877-861-6507

License Information

Taxonomy
Lodging · 177F00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Vitality Healthcare LLC?

The NPI number of Vitality Healthcare LLC is 1174329676. It was assigned on February 24, 2025 and is currently active in the NPPES registry.

What is the specialty of Vitality Healthcare LLC?

Vitality Healthcare LLC is registered under the primary taxonomy Lodging (code 177F00000X).

Where does Vitality Healthcare LLC practice?

The practice location is 187 S Canaan RD, Canaan, CT 06018-2544. The office can be reached at 860-362-5232 (phone) or 877-861-6507 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174329676 directly on the NPPES registry website.

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