NPI Code Details Logo

NPI 1457208183

NPI 1457208183 : VITALHEALTH NURSING SERVICES LLC : COLUMBUS, GA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1457208183
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    VITALHEALTH NURSING SERVICES LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/12/2026
-----------------------------------------------------
    Last Update Date     |    03/12/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    935 CHESAPEAKE WAY 
-----------------------------------------------------
    City                 |    COLUMBUS
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    31907-7340
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    706-615-5583
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    935 CHESAPEAKE WAY 
-----------------------------------------------------
    City                 |    COLUMBUS
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    31907-7340
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    706-615-5583
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER/MANAGER/ADMINISTRATOR
-----------------------------------------------------
    Name                 |     KEVIN ALEXANDER PORTER 
-----------------------------------------------------
    Credential           |    RN
-----------------------------------------------------
    Telephone            |    706-615-5583
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251S00000X
-----------------------------------------------------
    Taxonomy Name        |    Community/Behavioral Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    251J00000X
-----------------------------------------------------
    Taxonomy Name        |    Nursing Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.