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VITALITY SENIOR SERVICES NPI 1003389214


NPI Information

NPI: 1003389214
Provider Name: VITALITY SENIOR SERVICES
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1420 E MAIN ST
NEW ALBANY, IN
ZIP 47150
Phone: (812) 914-1161
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VITALITY SENIOR SERVICES is an assisted living facility in New Albany, IN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. VITALITY SENIOR SERVICES NPI is 1003389214. The provider is registered as an organization entity type.

The provider's business location address is:

1420 E MAIN ST
NEW ALBANY, IN
ZIP 47150-730
Phone: (812) 914-1161

The provider's authorized official is Todd Marsh .
The authorized official title is Chief Operating Officer and has the following contact phone number (812) 914-1161.

The enumeration date for this NPI number is 1/10/2019 and was last updated on 1/10/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1300021098MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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