VITALITY FAMILY MENTAL HEALTH, LLC


Address: 4149 Lyndale Ave N, Minneapolis, MN 55412-1703
Phone: 6124813262

VITALITY FAMILY MENTAL HEALTH, LLC (NPI# 1104369016) 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) 1104369016
Entity Type Organization
Organization Name VITALITY FAMILY MENTAL HEALTH, LLC
Practice Address 4149 Lyndale Ave N
Minneapolis
MN 55412-1703
Mailing Address 3545 Portland Ave
Minneapolis
MN 55407-2025
Practice Telephone 6124813262
Mailing Telephone 6124813262
Enumeration Date 2016-11-24
Last Update Date 2016-11-24
Authorized Official Name MR. ALBERT NORMAN BROWN JR. (OWNER)
Authorized Official Telephone 6124813262
Authorized Official Credential M.A, MFT, LADC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 302R00000X Health Maintenance Organization Managed Care Organizations

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1790224939 Vitality Family Mental Health, LLC Counselor 4149 Lyndale Ave N, Suite 107, Minneapolis, MN 55412-1703 2017-02-21

Office Location

Street Address 4149 LYNDALE AVE N
City MINNEAPOLIS
State MN
Zip Code 55412-1703

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891979555 Lowry Family Chiropractic Clinic, Pa Chiropractor 4149 Lyndale Ave N, Suite 200, Minneapolis, MN 55412-1703 2007-12-18
1790224939 Vitality Family Mental Health, LLC Counselor 4149 Lyndale Ave N, Suite 107, Minneapolis, MN 55412-1703 2017-02-21
1144538471 Camden Health Services LLC Home Health 4149 Lyndale Ave N, 209, Minneapolis, MN 55412-1703 2010-09-21
1194951178 Albert Brown II Counselor 4149 Lyndale Ave N, Suite 107, Minneapolis, MN 55412-1703 2009-06-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033778121 Grace Group Home LLC Home Delivered Meals 3538 Fremont Ave N, Minneapolis, MN 55412 2019-06-11
1346708138 Steven Keith Bell Chiropractor 3232 Fremont Ave. No, Suite 314, Mpls., MN 55412 2019-03-11
1962998997 Steven Wolinski Psychologist 3830 Washburn Ave N, Minneapolis, MN 55412 2018-07-02
1235676438 The Helping Hands Mn L.L.C. Home Health 860 Blue Gentain Rd, 200, Eagen, MN 55412 2017-01-25
1982070454 Sylvia Majors Driver 3443 Colfax Ave North, Minneapolis, MN 55412 2015-08-19
1962746859 Maureen Ellis Social Worker 4151 Thomas Ave N, Minneapolis, MN 55412 2012-11-16
1770832552 Mastery School Inc. Local Education Agency (LEA) 4021 Thomas Ave N, Minneapolis, MN 55412 2012-09-07
1902171416 David Anthony Wicklund Massage Therapist 2206 44th Ave N, Minneapolis, MN 55412 2012-03-16
1376739656 Gloria Dean Scales Peterson Social Worker 3333 North 4th Street, Minneapolis, MN 55412 2007-09-19
1922173798 Rodney Allen Lenz Dentist 4207 Aldrich Avenue North, Minneapolis, MN 55412 2006-11-21
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Taxonomy Information

Taxonomy Code 302R00000X
Grouping Managed Care Organizations
Classification Health Maintenance Organization

Taxonomy Definition

(1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.
Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235581059 Wertish Chiropractic, LLC Health Maintenance Organization 401 N 3rd St Ste 220, Minneapolis, MN 55401-1349 2016-07-05
1407219645 Fowsia S Isse Health Maintenance Organization 5519 Lyndale Ave N, Minneapolis, MN 55430-3216 2016-04-04
1033528146 We Care Health Services Inc Health Maintenance Organization 115 E Lake St Ste B3, Minneapolis, MN 55408-3370 2014-08-04
1801212592 Nobility Home Health Care Inc Health Maintenance Organization 1200 W Broadway Ave, Suite 130, Minneapolis, MN 55411-2572 2014-03-05
1417291402 Hope Alliance Health Health Maintenance Organization 1516 W Lake St Ste 106, Minneapolis, MN 55408-6600 2012-11-15
1780998377 Lucky Medical Supplies Health Maintenance Organization 2910 Pillsbury Ave S Ste 131, Minneapolis, MN 55408-2335 2010-08-06
1376874347 Lakes Medical Equipment Inc. Health Maintenance Organization 1808 University Ave Ne Apt 100, Minneapolis, MN 55418-4311 2010-01-14
1659550234 Crown Medical Translation Services Inc Health Maintenance Organization 1931 1st Ave S, Suite 301, Minneapolis, MN 55403-3724 2007-10-30
1639370174 Orthognathic Services Ltd Health Maintenance Organization 2701 University Ave Se Ste 101, Minneapolis, MN 55414-3231 2007-05-31
1255754230 Premier Home Healthcare LLC Health Maintenance Organization 2435 Pillsbury Ave S, Apt 405, Minneapolis, MN 55404-3258 2014-01-28
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Competitor

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City MINNEAPOLIS
Zip Code 55412

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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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