Active NPIOrganization

Still Vitality Care LLC

Nurse Practitioner, Psych/Mental Health in Canton, Massachusetts

NPI Number1982553871
Practice location
1017 Turnpike St Ste Boffice2, Canton, MA 02021-2853
Fax
949-883-2076
Last updated
September 17, 2026

Still Vitality Care LLC is a healthcare organization based in Canton, MA. Still Vitality Care LLC practices in Canton, MA. The NPI Number for Still Vitality Care LLC is 1982553871. The current practice location address for Still Vitality Care LLC is 1017 Turnpike St Ste Boffice2, Canton, MA 02021-2853 and can be reached out via phone at 774-202-9533 and via fax at 949-883-2076.

Provider Profile Details

NPI Number
1982553871
Provider Name
Still Vitality Care LLC
Provider Entity Type
Organization
Address
1017 Turnpike St Ste Boffice2, Canton, MA 02021-2853
Phone Number
774-202-9533
Fax Number
949-883-2076
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Organization Subpart
No
Authorized Official
Dr. Chimezie Joanna Agomoh, PHD, RN PMHNP-BC · Psychiatric Nurse Practitioner · 774-202-9533
Provider Enumeration Date
January 24, 2026
Last Update Date
September 17, 2026
Certification Date
September 17, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1017 Turnpike St Ste Boffice2
Canton, MA 02021-2853
City
Canton
Zip
02021-2853
Phone Number
774-202-9533
Fax Number
949-883-2076
Canton, MA 02021Get directions →

Provider Business Mailing Address Details

Address
6 Elizabeth Ln
West Bridgewater, MA 02379-1838
City
West Bridgewater
State
MA
Zip
02379-1838
Phone Number
774-202-9533
Fax Number
949-883-2076

License Information

Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · 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 Still Vitality Care LLC?

The NPI number of Still Vitality Care LLC is 1982553871. It was assigned on January 24, 2026 and is currently active in the NPPES registry.

What is the specialty of Still Vitality Care LLC?

Still Vitality Care LLC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X).

Where does Still Vitality Care LLC practice?

The practice location is 1017 Turnpike St Ste Boffice2, Canton, MA 02021-2853. The office can be reached at 774-202-9533 (phone) or 949-883-2076 (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 1982553871 directly on the NPPES registry website.

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