MEDICARE: VITALITY UNLIMITED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1396567939
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VITALITY UNLIMITED

Provider Business Mailing Address
First Line	:	PO BOX 2580
Second Line	:
City	:	ELKO
State	:	NV
Zip	:	89803-2580
Country	:	US
Telephone Number	:	775-738-4158
Fax Number	:	775-778-9501

Provider Business Practice Location Address
First Line	:	6402 MCLEOD DR STE 4AND5
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-4405
Country	:	US
Telephone Number	:	775-738-4158
Fax Number	:	775-778-9501

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	DOROTHY J DEXTER
Credential	:	MBA
Telephone Number	:	775-738-4158

Provider Enumeration Date	:	10/25/2024
Last Update Date	:	10/25/2024

Similar Medicare Providers

1265661946 — MR. NICHOLAS L NEUBAUER M.S.W.
Practice Location Address:

6402 MCLEOD DR , SUITE #5
LAS VEGAS, NV
89120-4405

Practice Phone: 702-898-5311
Practice Fax: 702-222-3275

1962631382 — MS. NICOLE PUCCI M.S.W
Practice Location Address:

6402 MCLEOD DR , #5
LAS VEGAS, NV
89120-4405

Practice Phone: 702-898-5311
Practice Fax: 702-222-3275

1003612789 — STEPHANIE LOREN MAPULA-MAGDALENO
Practice Location Address:

6402 MCLEOD DR
LAS VEGAS, NV
89120-4405

Practice Phone: 725-204-8809
Practice Fax:

1215890280 — VINEETA KUMAR JAGTIANI PHARMD
Practice Location Address:

10700 NEW BORO AVE
LAS VEGAS, NV
89144-4405

Practice Phone: 702-338-5378
Practice Fax:

1740463371 — CHICAGOCARE LLC
Practice Location Address:

7240 W AZURE DR , #165
LAS VEGAS, NV
89130-4405

Practice Phone: 702-396-7689
Practice Fax: 702-645-9958

1467754234 — JENNIFER BROOKS
Practice Location Address:

7336 RIBBON RIDGE AVE
LAS VEGAS, NV
89129-4405

Practice Phone: 702-686-6782
Practice Fax:

Directions to “VITALITY UNLIMITED ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.