VITALITY FOR LIFE (NPI# 1962779850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962779850 |
| Entity Type | Organization |
| Organization Name | VITALITY FOR LIFE |
| Practice Address |
1107 Us Highway 395 N Gardnerville NV 89410-5304 |
| Practice Telephone | 7757821599 |
| Practice Fax Number | 7757821558 |
| Mailing Telephone | 7757821599 |
| Mailing Fax Number | 7757821558 |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2011-11-21 |
| Authorized Official Name | MR. WILLIAM HALE (CEO) |
| Authorized Official Telephone | 7757821586 |
| Is Organization Subpart | Y |
| Parent Organization Name | CARSON VALLEY MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
10804 | NV | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Vitality for Life, LLC | 1146 Bluestem Blvd, Pueblo, CO 81001 |
| Street Address |
1107 US HIGHWAY 395 N |
| City | GARDNERVILLE |
| State | NV |
| Zip Code | 89410-5304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053312710 | Joshua B Rogers | Emergency Medicine | 1107 Us Highway 395 N, Gardnerville, NV 89410-5304 | 2005-08-03 |
| 1104482918 | Washoe Barton Medical Clinic A Nevada Nonprofit Corporation | Counselor | 1107 Us Highway 395 N, Gardnerville, NV 89410-5304 | 2019-05-16 |
| 1306304472 | Thais Sierra Pacific PC | Internal Medicine | 1107 Us Highway 395 N, Gardnerville, NV 89410-5304 | 2019-03-07 |
| 1871068510 | Diana Malekos | Social Worker | 1107 Us Highway 395 N, Gardnerville, NV 89410-5304 | 2018-10-09 |
| 1902217185 | Monika Amanda Marsh | Marriage & Family Therapist | 1107 Us Highway 395 N, Gardnerville, NV 89410-5304 | 2014-05-09 |
| 1134467152 | Qsmedico Inc | Internal Medicine | 1107 Us Highway 395 N, Gardnerville, NV 89410-5304 | 2013-01-25 |
| 1437433760 | Holly Rachelle Kampf Robbins | Social Worker | 1107 Us Highway 395 N, Gardnerville, NV 89410-5304 | 2011-10-05 |
| 1558666867 | Mary Teachout | Counselor | 1107 Us Highway 395 N, Gardnerville, NV 89410-5304 | 2011-01-18 |
| 1285958884 | Olumide T Olagunju | Internal Medicine | 1107 Us Highway 395 N, Gardnerville, NV 89410 | 2010-03-25 |
| 1831386382 | Peter J Digrande Md Inc | Anesthesiology | 1107 Us Highway 395 N, Gardnerville, NV 89410-5304 | 2007-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750931127 | Hayes Robert Wilson | Physician Assistant | 1107 Highway 395 North, Gardnerville, NV 89410 | 2019-09-17 |
| 1609361088 | Douglas County and Unincorporated Towns | Substance Abuse Rehabilitation Facility | China Spring Youth Camp Adapt, 225 China Spring Road, Gardnerville, NV 89410 | 2018-06-27 |
| 1306338215 | Douglas Co and Unincorporated Towns | Psychiatric Residential Treatment Facility | 225 China Spring Rd, Gardnerville, NV 89410 | 2018-06-06 |
| 1245787308 | Debra M Robison | Pharmacist | 1363 Hwy 395 North, Raley's #109 Pharmacy, Gardnerville, NV 89410 | 2016-09-07 |
| 1346573268 | Cynthia Suzanne Tarantino-fernandez | Social Worker | 1296 Bray Way, Gardnerville, NV 89410 | 2009-09-10 |
| 1750531398 | Paul Williams Phillips Jr. | Orthopaedic Surgery | 1524 Us Hwy 395 Ste 2, Gardnerville, NV 89410 | 2008-09-19 |
| 1033316054 | Barbara Ellen Gould | Physical Therapist | 1107 Highway 395 South, Gardnerville, NV 89410 | 2007-07-02 |
| 1992916019 | Diane G. Oliver, Md | Pathology | 1107 Highway 395 S, Department of Pathology, Gardnerville, NV 89410 | 2007-05-24 |
| 1346460656 | Ricky Shigeru Miyashiro | Physical Therapist | 1107 Hwy 395 S, Gardnerville, NV 89410 | 2007-04-27 |
| 1467679217 | Stuart Sumner Drange | Dentist | 1480 Main Street, Hwy 395, Gardnerville, NV 89410 | 2007-04-20 |
| Find all providers in zip 89410 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244010 | Serenity Counseling Services | Clinic/Center | 505 S Arlington Ave Ste 203, Reno, NV 89509-1525 | 2020-10-30 |
| 1538775416 | Schonian Wellness Group, LLC | Clinic/Center | 9017 S Pecos Rd Ste 4330, Henderson, NV 89074-7196 | 2020-09-16 |
| 1215558143 | Jessica Mix Mft | Clinic/Center | 6390 W Cheyenne Ave Ste F, Las Vegas, NV 89108-6008 | 2020-05-01 |
| 1528695897 | L Jensen and Associates Inc | Clinic/Center | 9418 W Lake Mead Blvd Ste 308, Las Vegas, NV 89134-8312 | 2020-03-25 |
| 1013548817 | Abraxas Center LLC | Clinic/Center | 4575 W Cougar Ave Ste 300, Las Vegas, NV 89139-7617 | 2020-01-30 |
| 1164061818 | Therapy Sense Pllc | Clinic/Center | 9402 W Lake Mead Blvd Ofc 104, Las Vegas, NV 89134-8312 | 2019-12-28 |
| 1932748779 | Mindworks Mental Health Clinic | Clinic/Center | 3830 Timberlake Dr., Las Vegas, NV 89115 | 2019-12-26 |
| 1205479813 | Core Strength LLC | Clinic/Center | 186 Woolman Rink Ave, Las Vegas, NV 89123-7443 | 2019-10-26 |
| 1164987871 | Brenda Primero Np LLC | Clinic/Center | 8125 Nottingham Hill Ln, Las Vegas, NV 89113-1888 | 2019-02-06 |
| 1942773775 | Best Life Behavioral Health LLC | Clinic/Center | 1970 E 2nd St, Reno, NV 89502-1223 | 2019-01-03 |
| Find all providers with the same taxonomy | ||||
| City | GARDNERVILLE |
| Zip Code | 89410 |
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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.